Provider Demographics
NPI:1568481505
Name:THAWLEY-HURD, MARGARET ANNE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:THAWLEY-HURD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:DEBRULER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:902 E MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1634
Mailing Address - Country:US
Mailing Address - Phone:360-435-9338
Mailing Address - Fax:360-435-2266
Practice Address - Street 1:902 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1634
Practice Address - Country:US
Practice Address - Phone:360-435-9338
Practice Address - Fax:360-435-2266
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025804-AP30001255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9600198Medicaid
WA025801-RN 00051119OtherREGISTERED NURSE
WAMT0116093OtherDEA NUMBER
WAMT0116093OtherDEA NUMBER
WAAB26675Medicare ID - Type Unspecified