Deborah L Fertakis in Liberty Lake - Family
Deborah L Fertakis - NPI 1710015110
Deborah L Fertakis is a Family in Liberty Lake, Washington. Deborah L Fertakis practices all healthcare services and medical treatments related to Family. The NPI Number for Deborah L Fertakis is 1710015110. The last update date is 2021-05-18.
Deborah L Fertakis's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 8667472455. The mailing address for Deborah L Fertakis is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah L Fertakis |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 8667472455 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1710015110 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2021-05-18 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 8667472455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP30006059 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9646332 | WA | -- | |
| 1154414761 | WA | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Deborah L Fertakis by the Centers for Medicare & Medicaid Services?
The Deborah L Fertakis has been issued the NPI (National Provider Identifier) 1710015110, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Deborah L Fertakis is geographically located?
The Deborah L Fertakis is physically situated at the following location: Po Box 421, Liberty Lake, WA, 990190421.
What is the Deborah L Fertakis's area of specialization and corresponding taxonomy classification?
The Deborah L Fertakis's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1710015110 to Deborah L Fertakis?
The Deborah L Fertakis received its 1710015110 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the details pertaining to Deborah L Fertakis last refreshed?
The information related to the Deborah L Fertakis, including its address, specialty, and other relevant details, was last updated on 2021-05-18.