MEDICARE: LINDA ANN HAWLEY PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	812780	NV
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61561250	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN61559448	OTHER	WA	REGISTERED NURSE LICENSE - RN
2	72139	OTHER	NV	NEVADA STATE BOARD OF NURSING- NURSING LICENSE
3	AP61561250	OTHER	WA	ADVANCED REGISTERED NURSE PRACTITIONER - AP
4	812720	OTHER	NV	NEVADA STATE BOARD OF NURSING- APRN LICENSE

General Provider Information

NPI Number	:	1871078584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ANN HAWLEY PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 719
Second Line	:
City	:	SUNNYSIDE
State	:	WA
Zip	:	98944-0719
Country	:	US
Telephone Number	:	509-837-1617
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 E LINCOLN AVE
Second Line	:
City	:	SUNNYSIDE
State	:	WA
Zip	:	98944-4006
Country	:	US
Telephone Number	:	509-836-4848
Fax Number	:	509-836-4849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2018
Last Update Date	:	03/07/2025

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Directions to “ LINDA ANN HAWLEY PMHNP” Practice Location

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