Provider Demographics
NPI:1609012194
Name:HURNE, DANIEL NELSON (ND)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NELSON
Last Name:HURNE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 SW RAYMOND ST
Mailing Address - Street 2:#204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2992
Mailing Address - Country:US
Mailing Address - Phone:425-770-4606
Mailing Address - Fax:
Practice Address - Street 1:328 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1812
Practice Address - Country:US
Practice Address - Phone:360-794-4500
Practice Address - Fax:360-863-1640
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60063068175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANT60063068OtherNATUROPATHIC PHYSICIAN LICENSE