Doctor Name: | MS. CLAIRE TILLEY |
NPI Number: | 1023432655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | RN60235841 |
Business Practice Address: | 805 164th St Se Suite # 101 Mill Creek, WA - 980126316 |
Business Phone Number: | 4257424600 |
Business Fax Number: | 4257424633 |
Mailing Address: | 805 164th St Se, Suite # 101 MILL CREEK |
State: | WA |
Postal Code: | 980126316 |
Phone Number: | 4257424600 |
Fax Number: | 4257424633 |
NPI Enumeration Date: | 02/18/2014 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN60235841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |