Provider Demographics
NPI:1083353841
Name:ANTHES, HALEY (ARNP, NP-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:ANTHES
Suffix:
Gender:F
Credentials:ARNP, NP-C
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:COMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-5127
Mailing Address - Country:US
Mailing Address - Phone:425-304-8431
Mailing Address - Fax:
Practice Address - Street 1:1025 153RD ST SE STE 200
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-4051
Practice Address - Country:US
Practice Address - Phone:425-338-4000
Practice Address - Fax:425-338-4090
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61254610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily