Theresse Elizabeth Gibbs Douglass in Bainbridge Island - Psychiatric/mental Health
Theresse Elizabeth Gibbs Douglass - NPI 1356378921
Theresse Elizabeth Gibbs Douglass is a Psychiatric/mental Health in Bainbridge Island, Washington. Theresse Elizabeth Gibbs Douglass practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Theresse Elizabeth Gibbs Douglass is 1356378921. The last update date is 2014-11-14.
Theresse Elizabeth Gibbs Douglass's current location address is 6863 Eagle Harbor Dr Ne, Bainbridge Island, Washington. You can contact this provider via phone number 2067803401 and fax number 2062389777. The mailing address for Theresse Elizabeth Gibbs Douglass is 6863 Eagle Harbor Dr Ne, Bainbridge Island, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theresse Elizabeth Gibbs Douglass |
|---|---|
| Address | 6863 Eagle Harbor Dr Ne, Bainbridge Island, Washington |
| Phone Number | 2067803401 |
| Fax Number | 2062389777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Douglass Elizabeth Theresse (Terry) |
| Credentials | ARNP, PHD |
| Telephone Number | 2067803401 |
NPI Number Detail
| NPI Number | 1356378921 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2014-11-14 |
Provider Mailing Address Detail
| Address | 6863 Eagle Harbor Dr Ne |
|---|---|
| City | Bainbridge Island |
| State | Washington (WA) |
| Post Code | 981103103 |
| Phone Number | 2067803401 |
| Fax Number | 2062389777 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | AP30000194 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9605122 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Theresse Elizabeth Gibbs Douglass by the Centers for Medicare & Medicaid Services?
The Theresse Elizabeth Gibbs Douglass has been issued the NPI (National Provider Identifier) 1356378921. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Theresse Elizabeth Gibbs Douglass is physically located?
The Theresse Elizabeth Gibbs Douglass is physically situated at the following address: 6863 Eagle Harbor Dr Ne, Bainbridge Island, WA, 981103103.
What is the Theresse Elizabeth Gibbs Douglass's specialty and taxonomy code?
The Theresse Elizabeth Gibbs Douglass's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
When did Theresse Elizabeth Gibbs Douglass receive its 1356378921 assignment?
The Theresse Elizabeth Gibbs Douglass was assigned its 1356378921 on 2006-06-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Theresse Elizabeth Gibbs Douglass, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresse Elizabeth Gibbs Douglass, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-14.