Provider Demographics
NPI:1144660325
Name:HAELAN, ANN NATALIE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:NATALIE
Last Name:HAELAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 COLBY AVE STE 717
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3535
Mailing Address - Country:US
Mailing Address - Phone:509-339-3618
Mailing Address - Fax:360-913-3174
Practice Address - Street 1:2722 COLBY AVE STE 717
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3535
Practice Address - Country:US
Practice Address - Phone:509-339-3618
Practice Address - Fax:360-913-3174
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAN360384023363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health