Individual
DEBORAH CHRISTINE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1064 SOMMERVILLE RD., CHIMACUM, WA 98325
(360) 301-1857
Mailing address
PO BOX 251, PORT HADLOCK, WA 98339-0251
(360) 301-1857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60879556
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60879556
STATE OF WASHINGTON NURSING COMMISSION
WA
Enumeration date
11/01/2018
Last updated
11/01/2018
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