Basic Information
| Provider Information | |||||||||
| NPI: | 1225469760 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLUEGER | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | A.R.N.P | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1225 CAMPBELL WAY STE 201 | ||||||||
| Address2: | |||||||||
| City: | BREMERTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983103323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603771355 | ||||||||
| FaxNumber: | 2538358869 | ||||||||
| Practice Location | |||||||||
| Address1: | 1225 CAMPBELL WAY STE 201 | ||||||||
| Address2: | |||||||||
| City: | BREMERTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983103323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603771355 | ||||||||
| FaxNumber: | 2538358869 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2013 | ||||||||
| LastUpdateDate: | 12/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 12/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | RN60158703 | WA | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 363LA2200X | AP60406361 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
ID Information
| ID | Type | State | Issuer | Description | 2033186 | 05 | WA | MEDICAID |