Individual
ZACKERY HANSHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60946692
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60946692
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP70102317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207285
—
WA
Enumeration date
02/23/2022
Last updated
04/22/2026
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