Provider Demographics
NPI:1790128056
Name:HEMINGWAY, ALLENE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ALLENE
Middle Name:
Last Name:HEMINGWAY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18002 LIPOMA FIRS E UNIT D103
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9008
Mailing Address - Country:US
Mailing Address - Phone:541-539-1319
Mailing Address - Fax:
Practice Address - Street 1:521 19TH AVE SW
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-7465
Practice Address - Country:US
Practice Address - Phone:253-234-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61466840363LP0808X
CA743757163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine