Individual
DEANNA M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
21401 72ND AVE W, EDMONDS, WA 98026-7702
(425) 304-1101
(425) 412-1864
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007616
WA
367500000X
Certified Registered Nurse Anesthetist
RN00136243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218867
L&I PIN
WA
01
—
87596U
REGENCE PIN
WA
05
—
9651951
—
WA
Enumeration date
01/22/2007
Last updated
04/21/2026
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