ELLEN M HANISCH

GIG HARBOR, WA
NPI1346248754
Other NameELLEN M. HAGEMEIER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP60134362)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IA  A-108210)
363L00000X Nurse Practitioner
(Licence: NE  110748)
Enumeration Date2005-07-09
Last Update Date2012-08-01
Business Address
Ms. ELLEN M HANISCH Nurse Practitioner
11511 CANTERWOOD BLVD SUITE 45
GIG HARBOR, WA 98332-5813
Phone number: 253-858-4725
Mailing Address
Ms. ELLEN M HANISCH Nurse Practitioner
1624 SOUTH I STREET SUITE 305
TACOMA, WA 98405-5093
Phone number: 253-428-8700