Healthcare Provider Details

I. General information

NPI: 1073131918
Provider Name (Legal Business Name): AMANDA LYNN HAMLIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA FISHER ARNP

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 COMMERCIAL AVE
ANACORTES WA
98221-2326
US

IV. Provider business mailing address

1801 COMMERCIAL AVE.
ANACORTES WA
98221
US

V. Phone/Fax

Practice location:
  • Phone: 360-399-6036
  • Fax:
Mailing address:
  • Phone: 360-399-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61087679
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60378409
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: