Provider Demographics
NPI:1437761988
Name:HAHN, HOLLYE (ARNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:HOLLYE
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 SE PIONEER WAY STE 106
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5716
Mailing Address - Country:US
Mailing Address - Phone:360-914-5744
Mailing Address - Fax:
Practice Address - Street 1:32650 STATE ROUTE 20 STE C209
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2687
Practice Address - Country:US
Practice Address - Phone:360-914-5744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61087697363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health