Provider Demographics
NPI:1740318211
Name:ACHENBACH, HOPE E (RN)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:E
Last Name:ACHENBACH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:HOPE
Other - Middle Name:E
Other - Last Name:GROST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:WILBUR
Mailing Address - State:WA
Mailing Address - Zip Code:99185-0287
Mailing Address - Country:US
Mailing Address - Phone:509-634-7325
Mailing Address - Fax:509-634-7326
Practice Address - Street 1:HIGHWAY 25
Practice Address - Street 2:TRIBAL HEALTH PROGRAM SANPOIL CLINIC
Practice Address - City:KELLER
Practice Address - State:WA
Practice Address - Zip Code:99144-0414
Practice Address - Country:US
Practice Address - Phone:509-634-7325
Practice Address - Fax:509-634-7326
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00133829163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health