Provider Demographics
NPI:1154524601
Name:HOPPER, ELIZABETH ANNE (ARNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:HOPPER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28307 MANZANITA BEACH RD SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-8904
Mailing Address - Country:US
Mailing Address - Phone:206-354-2081
Mailing Address - Fax:
Practice Address - Street 1:12180 PARK AVE S PLU HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98447-3529
Practice Address - Country:US
Practice Address - Phone:253-535-7337
Practice Address - Fax:360-992-2853
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WARN00104502163WG0000X
WAAP30003479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice