Healthcare Provider Details

I. General information

NPI: 1225654346
Provider Name (Legal Business Name): HANNAH NYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22722 29TH DR SE
BOTHELL WA
98021-4401
US

IV. Provider business mailing address

3309 NE 145TH CIR
VANCOUVER WA
98686-2269
US

V. Phone/Fax

Practice location:
  • Phone: 206-858-1177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: