Provider Demographics
NPI:1699851774
Name:HYERS, PATRICK LAMORRIS (RN, MHA, BC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:LAMORRIS
Last Name:HYERS
Suffix:
Gender:M
Credentials:RN, MHA, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15128 SILCOX DR SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-1037
Mailing Address - Country:US
Mailing Address - Phone:253-380-3021
Mailing Address - Fax:
Practice Address - Street 1:AMERICAN LAKE VA- NURSING EXECUTIVE OFFICE
Practice Address - Street 2:9600 VETERANS DR
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00125389163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator