Hailey Basaraba

Individual provider Active NPI Continuing Education/Staff Development Registered Nurse · Pullman, WA

NPI 1982585873 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1982585873
Entity type
Individual (NPI type 1)
Primary specialty
Continuing Education/Staff Development Registered Nurse 163WC1600X
License
RN60180904 (WA)
Practice address
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone
(509) 336-5679
Fax
(509) 332-6579
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN60180904WAMDContinuing Education/Staff Development Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X RN60180904 WA Yes

Addresses

Primary practice location

835 SE Bishop Blvd
Pullman, WA 99163-5512

Mailing address

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 336-5679

Other names

  • Hailey Tiersma Former name

Other providers in Pullman, WA

All providers in Pullman, WA · Continuing Education/Staff Development Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.