Provider Demographics
NPI:1063657443
Name:HADLEY, AMYE M (ND, ARNP)
Entity Type:Individual
Prefix:
First Name:AMYE
Middle Name:M
Last Name:HADLEY
Suffix:
Gender:F
Credentials:ND, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 WALLINGFORD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8218
Mailing Address - Country:US
Mailing Address - Phone:206-632-0542
Mailing Address - Fax:
Practice Address - Street 1:4005 WALLINGFORD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8218
Practice Address - Country:US
Practice Address - Phone:206-632-0542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60026250175F00000X
WAAP60066816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopath