Healthcare Provider Details

I. General information

NPI: 1952355448
Provider Name (Legal Business Name): CATHERINE SUE BILYARD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE S SPANTON ARNP

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S COLUMBIA AVE
CONNELL WA
99326
US

IV. Provider business mailing address

PO BOX 1260
CONNELL WA
99326-1260
US

V. Phone/Fax

Practice location:
  • Phone: 509-234-3410
  • Fax: 509-234-3412
Mailing address:
  • Phone: 509-234-3410
  • Fax: 509-234-3412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30003043
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: