Individual
DEBORAH A FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30001622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039592
LABOR AND INDUSTRIES #
WA
01
—
500025494
RAILROAD MC#
WA
01
—
5341FI
BLUE SHIELD #
WA
05
—
9607201
—
WA
01
—
US2882562
AETNA SPECIALIST PIN
WA
Enumeration date
02/01/2007
Last updated
07/23/2020
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