Healthcare Provider Details

I. General information

NPI: 1285918011
Provider Name (Legal Business Name): HANNAH NAGLE MCCABE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH ALLYN NAGLE ARNP, RN

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 S I ST STE 204
TACOMA WA
98405-5016
US

IV. Provider business mailing address

1624 S I ST STE 204
TACOMA WA
98405-5016
US

V. Phone/Fax

Practice location:
  • Phone: 253-752-8882
  • Fax: 253-590-0260
Mailing address:
  • Phone: 253-752-8882
  • Fax: 253-590-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60239531
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60239530
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: