Provider Demographics
NPI:1215709761
Name:NPOLOGY LLC
Entity type:Organization
Organization Name:NPOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PAACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NEKOL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:214-875-0111
Mailing Address - Street 1:23505 E. APPLEWAY AVE.
Mailing Address - Street 2:STE. #200/PMB600
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019
Mailing Address - Country:US
Mailing Address - Phone:214-875-0111
Mailing Address - Fax:
Practice Address - Street 1:23505 E. APPLEWAY AVE.
Practice Address - Street 2:STE. #200/PMB600
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019
Practice Address - Country:US
Practice Address - Phone:214-875-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)