Provider Demographics
NPI:1588416234
Name:GORAYA, HANVIR KAUR (RN)
Entity type:Individual
Prefix:
First Name:HANVIR
Middle Name:KAUR
Last Name:GORAYA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13279 SE 227TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-3206
Mailing Address - Country:US
Mailing Address - Phone:206-778-6858
Mailing Address - Fax:
Practice Address - Street 1:2601 SHATTUCK CT S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5020
Practice Address - Country:US
Practice Address - Phone:206-778-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61029405163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator