Individual
DEBORAH PAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21 NE ROMANCE HILL RD, BELFAIR, WA 98528-8315
(360) 277-2950
Mailing address
21 NE ROMANCE HILL RD, BELFAIR, WA 98528-8315
(360) 277-2950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60878829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112944
—
WA
Enumeration date
01/24/2012
Last updated
12/08/2020
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