Provider Demographics
NPI:1174925028
Name:HULVERSHORN, APRIL (LAC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HULVERSHORN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 QUEEN ANNE AVE N
Mailing Address - Street 2:#100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2878
Mailing Address - Country:US
Mailing Address - Phone:206-298-9376
Mailing Address - Fax:
Practice Address - Street 1:1529 QUEEN ANNE AVE N
Practice Address - Street 2:#100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2878
Practice Address - Country:US
Practice Address - Phone:206-298-9376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC635171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist