Healthcare Provider Details

I. General information

NPI: 1326729617
Provider Name (Legal Business Name): CHELSEA HAGMANN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 NAKATA PL NW
BAINBRIDGE ISLAND WA
98110-1788
US

IV. Provider business mailing address

PO BOX 10094
BAINBRIDGE ISLAND WA
98110-0094
US

V. Phone/Fax

Practice location:
  • Phone: 406-890-8342
  • Fax:
Mailing address:
  • Phone: 406-890-8342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP.AP.70138621-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: