Provider Demographics
NPI:1407297278
Name:HJORTH, GINA MARIE (NP-C, ARNP, MS)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:HJORTH
Suffix:
Gender:F
Credentials:NP-C, ARNP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:2560 NE HOPKINS CT
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5622
Mailing Address - Country:US
Mailing Address - Phone:509-338-3800
Mailing Address - Fax:509-339-2702
Practice Address - Street 1:2560 NE HOPKINS CT
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5622
Practice Address - Country:US
Practice Address - Phone:509-338-3800
Practice Address - Fax:509-339-2702
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAN360394462363LF0000X
WAAP60389421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily