Hartley, Deborah A

Hartley, Deborah A is an individual health care provider with primary practice located at 901 Mt View Dr Building 1, Shelton WA 98584-4401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hartley, Deborah A can be contacted via phone (360) 426-1611.

Contact Information

Primary practice address
901 Mt View Dr Building 1 Shelton WA 98584-4401
Phone: (360) 426-1611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN00094991 Washington

Profile Details

NPI number 1043288319
LBN Legal business name Hartley, Deborah A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Apr 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043288319 NPPES
Washington MEDICAID 9619263
Washington Other 126457155
Washington Other HA6715

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