Provider Demographics
NPI:1821415670
Name:HANAHN KORMAN, RN PS
Entity Type:Organization
Organization Name:HANAHN KORMAN, RN PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:HANAHN
Authorized Official - Last Name:KORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-755-0441
Mailing Address - Street 1:2400 4TH AVE
Mailing Address - Street 2:#226
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 4TH AVE
Practice Address - Street 2:#226
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3404
Practice Address - Country:US
Practice Address - Phone:206-755-0441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA731703Medicaid