Healthcare Provider Details

I. General information

NPI: 1861021776
Provider Name (Legal Business Name): HANNAH MAGNESS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16549 AURORA AVE N
SHORELINE WA
98133-5308
US

IV. Provider business mailing address

1050 140TH AVE NE
BELLEVUE WA
98005-2972
US

V. Phone/Fax

Practice location:
  • Phone: 206-533-2600
  • Fax:
Mailing address:
  • Phone: 425-373-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61207123
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61585203
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: