Provider Demographics
NPI:1811979305
Name:HILLMAN, LYNDA (DNP, ARNP)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356157
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-598-4295
Mailing Address - Fax:206-598-2813
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356157
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-4295
Practice Address - Fax:206-598-2813
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA911220843OtherTAX ID #
WA62014OtherL & I