Provider Demographics
NPI:1285918011
Name:MCCABE, HANNAH NAGLE (ARNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:NAGLE
Last Name:MCCABE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ALLYN
Other - Last Name:NAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, RN
Mailing Address - Street 1:1624 S I ST
Mailing Address - Street 2:STE 204
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-5016
Mailing Address - Country:US
Mailing Address - Phone:253-752-8882
Mailing Address - Fax:253-590-0260
Practice Address - Street 1:1624 S I ST
Practice Address - Street 2:STE 204
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5016
Practice Address - Country:US
Practice Address - Phone:253-752-8882
Practice Address - Fax:253-590-0260
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60239531363L00000X
WARN60239530163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0308786OtherSTATE L&I
WA0308786OtherSTATE L&I