| Hallie Granville, ARNP | |
|
307 N Olympic Ave Ste 206, Arlington, WA 98223-1351 | |
| (360) 229-5954 | |
| (360) 200-0463 |
| Full Name | Hallie Granville |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 307 N Olympic Ave Ste 206, Arlington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649814658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP70020788 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP61012020 (Washington) | Primary |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Hallie Granville, ARNP 307 N Olympic Ave Ste 206, Arlington, WA 98223-1351 Ph: (360) 229-5954 | Hallie Granville, ARNP 307 N Olympic Ave Ste 206, Arlington, WA 98223-1351 Ph: (360) 229-5954 |
Dr. Jessica Lynette Hurwitz, DNP, CNM, ARNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 903 Medical Center Dr, Arlington, WA 98223 Phone: 360-435-0242 Fax: 360-435-9135 | |
Cindy L Beske, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 903 Medical Center Dr, Arlington, WA 98223 Phone: 360-435-0242 Fax: 360-435-9135 |