Provider Demographics
NPI:1336132778
Name:HAMLIN, NANCY (DNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 COLBY AVE
Mailing Address - Street 2:#328
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3557
Mailing Address - Country:US
Mailing Address - Phone:425-740-3600
Mailing Address - Fax:425-740-3601
Practice Address - Street 1:1728 W MARINE VIEW DR STE 109
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2094
Practice Address - Country:US
Practice Address - Phone:425-252-9216
Practice Address - Fax:425-252-8637
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006558363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9639378Medicaid
WA603279695OtherUBI
WA9639378Medicaid
WA008850403Medicare ID - Type Unspecified