Individual
ELEANOR A DESHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6565
(360) 814-6380
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057879
PA
363AS0400X
Surgical Physician Assistant
Primary
PA61501376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13676814
CAQH
—
Enumeration date
10/23/2015
Last updated
05/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us