Martin, Deanna M.

Martin, Deanna M. is an individual health care provider with primary practice located at 21401 72Nd Ave W , Edmonds WA 98026-7702. 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. Martin, Deanna M. can be contacted via phone (425) 304-1101.

Contact Information

Primary practice address
21401 72Nd Ave W Edmonds WA 98026-7702
Phone: (425) 304-1101
Fax: (425) 412-1864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30007616 Washington

Profile Details

NPI number 1598819138
LBN Legal business name Martin, Deanna M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 21st, 2020 - about 5 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 1598819138 NPPES
Washington MEDICAID 9651951
Washington Other 0218867
Washington Other 87596U

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