Mary Susan Hewankorn, RN
Registered Nurse in Spokane, WA. Individual provider (NPI-1).
NPI number1760104541
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1760104541
- Entity type
- Individual (NPI-1)
- Name
- Mary Susan Hewankorn
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN60107276 | WA | Yes |
Other names
- Mary Sue Hewankorn (Other Name)
Practice location
1302 W Gardner AveSpokane, WA 99201-2059
Phone 509-503-6010
Mailing address
14909 S Carstens RdEdwall, WA 99008-9611
Phone 509-290-7434
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