Healthcare Provider Details

I. General information

NPI: 1215574579
Provider Name (Legal Business Name): HANNAH CANTRELL DNP, ARNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 NW CANAL ST STE 200
SEATTLE WA
98107-4970
US

IV. Provider business mailing address

126 NW CANAL ST STE 200
SEATTLE WA
98107-4970
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-1500
  • Fax:
Mailing address:
  • Phone: 206-486-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN60610554
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61321061
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: