Provider Demographics
NPI:1285954511
Name:HALL, DRURY HOLLIWAY (MN, ARNP, ACNP-BC)
Entity type:Individual
Prefix:MR
First Name:DRURY
Middle Name:HOLLIWAY
Last Name:HALL
Suffix:
Gender:M
Credentials:MN, ARNP, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:REGIONAL EPILEPSY CENTER AT HARBORVIEW
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-744-3576
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:REGIONAL EPILEPSY CENTER AT HARBORVIEW
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-3576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60154853363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care