Healthcare Provider Details

I. General information

NPI: 1801291935
Provider Name (Legal Business Name): DEANNA L BARTHEL AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEANNA L MILLS AGNP

II. Dates (important events)

Enumeration Date: 10/31/2014
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12900 NE 180TH ST STE 100
BOTHELL WA
98011-5773
US

IV. Provider business mailing address

PO BOX 5824
BELFAST ME
04915-5800
US

V. Phone/Fax

Practice location:
  • Phone: 425-424-2100
  • Fax:
Mailing address:
  • Phone: 425-424-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60882899
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP60882899
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: