DEBORAH CHRISTINE TILLMAN


Address: 1064 Sommerville Rd., Chimacum, WA 98325
Phone: 3603011857

DEBORAH CHRISTINE TILLMAN (NPI# 1518434158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518434158
Entity Type Individual
Full Name DEBORAH CHRISTINE TILLMAN
Credential ARNP
Practice Address 1064 Sommerville Rd.
Chimacum
WA 98325
Mailing Address Po Box 251
Port Hadlock
WA 98339-0251
Practice Telephone 3603011857
Mailing Telephone 3603011857
Enumeration Date 2018-11-01
Last Update Date 2018-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP60879556 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA STATE OF WASHINGTON NURSING COMMISSION AP60879556 01

Other Providers DEBORAH TILLMAN

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1275782781 Deborah L Tillman Registered Nurse 516 Nizhoni Blvd, Gallup, NM 87301-5748 2008-09-09

Office Location

Street Address 1064 SOMMERVILLE RD.
City CHIMACUM
State WA
Zip Code 98325

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720094899 Elizabeth Louise Boyd Physical Therapist 42 Nip Lee Rd, Chimacum, WA 98325 2006-07-31
1083643746 Chimacum School District #49 Local Education Agency (LEA) 91 West Valley Rd, Chimacum, WA 98325 2006-07-02
1558708933 Sarah Mcnulty Occupational Therapist 91 W Valley Rd, Chimacum, WA 98325-7731 2013-05-27
1639519358 Matthew Wallace Mitchell Occupational Therapist 91 W Valley Rd, Chimacum, WA 98325-7731 2013-06-26
1932348653 Elizabeth C Hansen Physical Therapist 692 Sugar Hill Rd, Chimacum, WA 98325-7732 2009-02-19
1306352182 Jennifer Marie Cantlon Behavior Technician 5050 Center Rd, Chimacum, WA 98325-9757 2017-12-16

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHIMACUM
Zip Code 98325

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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