Provider Demographics
NPI:1104571025
Name:HARDING, HOLLY (DNP, ARNP)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 LAKEVIEW DR APT 101
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6940
Mailing Address - Country:US
Mailing Address - Phone:253-569-1969
Mailing Address - Fax:
Practice Address - Street 1:6625 LAKEVIEW DR APT 101
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6940
Practice Address - Country:US
Practice Address - Phone:253-569-1969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61253053363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner