Provider Demographics
NPI:1952371858
Name:KING, HEATHER CUNIFF (CRNA)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:CUNIFF
Last Name:KING
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 UDDENBERG LN STE 1
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5128
Mailing Address - Country:US
Mailing Address - Phone:253-264-0869
Mailing Address - Fax:253-237-9064
Practice Address - Street 1:3220 UDDENBERG LN STE 1
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-5128
Practice Address - Country:US
Practice Address - Phone:253-264-0859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61493551363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health