Individual
DEBORA NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP-BC
Contact information
Practice address
4225 ROOSEVELT WAY NE, SUITE 306, SEATTLE, WA 98105-6099
(206) 598-6950
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60195708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639471519
—
WA
Enumeration date
11/25/2010
Last updated
04/27/2016
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