Physician Compare National (NPI:1306473103)

HEALTHCARE PROVIDER: DEANNA JAYE MEHLHOFF FNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306473103
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759712664
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200508002413
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEHLHOFF
	Individual professional last name
Provider First Name	DEANNA
	Individual professional first name
Provider Middle Name	JAYE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2020
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 N TRIBAL CTR RD
	Group Practice or individual's line 1 address
City	SKOKOMISH NATION
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985849748
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y