Provider Demographics
NPI:1982478160
Name:ANNA CASILLAS ARNP PLLC
Entity type:Organization
Organization Name:ANNA CASILLAS ARNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:406-792-5444
Mailing Address - Street 1:1317 FIR LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-2535
Mailing Address - Country:US
Mailing Address - Phone:406-792-5444
Mailing Address - Fax:
Practice Address - Street 1:2021 E COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2373
Practice Address - Country:US
Practice Address - Phone:360-755-3670
Practice Address - Fax:360-873-8697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care