Provider Demographics
NPI:1740345651
Name:HANRAHAN, BETTY LOUISE (ARNP)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:LOUISE
Last Name:HANRAHAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:BETTY LOUISE
Other - Middle Name:LOUISE
Other - Last Name:DEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16123 65TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-8722
Mailing Address - Country:US
Mailing Address - Phone:360-668-2226
Mailing Address - Fax:360-668-2226
Practice Address - Street 1:DEPT OF VETERAN'S AFFAIRS
Practice Address - Street 2:1660 S COLUMBIAN WAY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:206-764-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003601363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health