Provider Demographics
NPI:1386796928
Name:DEBORAH D. STILES, ARNP, INC. P.S.
Entity type:Organization
Organization Name:DEBORAH D. STILES, ARNP, INC. P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PSYCH NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:STILES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-337-4575
Mailing Address - Street 1:927 DUCHESS RD
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-7020
Mailing Address - Country:US
Mailing Address - Phone:425-337-4575
Mailing Address - Fax:425-740-1620
Practice Address - Street 1:1720 100TH PL SE STE 201
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3865
Practice Address - Country:US
Practice Address - Phone:425-337-4575
Practice Address - Fax:425-740-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004089363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB28995Medicare PIN
S80001Medicare UPIN
GAB28996Medicare PIN