Provider Demographics
NPI:1255520987
Name:HULL ORMAND, SASHA ALEXANDRIA (CPNP)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:ALEXANDRIA
Last Name:HULL ORMAND
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 N MULLAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4046
Mailing Address - Country:US
Mailing Address - Phone:509-838-1188
Mailing Address - Fax:509-838-1427
Practice Address - Street 1:1410 N MULLAN RD STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4046
Practice Address - Country:US
Practice Address - Phone:509-838-1188
Practice Address - Fax:509-838-1427
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007917364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics