Provider Demographics
NPI:1528025160
Name:HANSMEIER, JULANA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JULANA
Middle Name:
Last Name:HANSMEIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201SOUTH 19TH STREET, STE 101
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405
Mailing Address - Country:US
Mailing Address - Phone:253-473-7636
Mailing Address - Fax:253-473-6715
Practice Address - Street 1:2201 S 19TH ST STE 101
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2961
Practice Address - Country:US
Practice Address - Phone:253-473-7636
Practice Address - Fax:253-473-6715
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000163363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9618406Medicaid
AB07208Medicare ID - Type Unspecified
S70712Medicare UPIN