Provider Demographics
NPI:1427836436
Name:DEAKINS, PETER JOSEPH (ARNP)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:JOSEPH
Last Name:DEAKINS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 W EAGLES NEST LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-8248
Mailing Address - Country:US
Mailing Address - Phone:509-844-7800
Mailing Address - Fax:
Practice Address - Street 1:510 W RIVERSIDE AVE STE 206
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0515
Practice Address - Country:US
Practice Address - Phone:509-474-0145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61487303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily