Provider Demographics
NPI:1871078584
Name:HAWLEY, LINDA ANN (PMHNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:HAWLEY
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 719
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-0719
Mailing Address - Country:US
Mailing Address - Phone:509-837-1617
Mailing Address - Fax:
Practice Address - Street 1:2705 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-4006
Practice Address - Country:US
Practice Address - Phone:509-836-4848
Practice Address - Fax:509-836-4849
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV812780363LP0808X
WAAP61561250363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN61559448OtherREGISTERED NURSE LICENSE - RN
NV72139OtherNEVADA STATE BOARD OF NURSING- NURSING LICENSE
WAAP61561250OtherADVANCED REGISTERED NURSE PRACTITIONER - AP
NV812720OtherNEVADA STATE BOARD OF NURSING- APRN LICENSE