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THERESSE ELIZABETH GIBBS DOUGLASS NPI 1356378921


NPI Information

NPI: 1356378921
Provider Name: THERESSE ELIZABETH GIBBS DOUGLASS

Doing Business As: ABOUT GETTING BETTER

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6863 EAGLE HARBOR DR NE
BAINBRIDGE ISLAND, WA
ZIP 98110
Phone: (206) 780-3401
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THERESSE ELIZABETH GIBBS DOUGLASS is a psychiatric/mental health nurse practitioner in Bainbridge Island, WA. THERESSE ELIZABETH GIBBS DOUGLASS NPI is 1356378921. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As About Getting Better.

The provider's business location address is:

6863 EAGLE HARBOR DR NE
BAINBRIDGE ISLAND, WA
ZIP 98110-103
Phone: (206) 780-3401
Fax: (206) 238-9777

The provider's authorized official is Theresse (terry) Elizabeth Douglass .
The authorized official title is Sole Proprietor and has the following contact phone number (206) 780-3401.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 11/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP30000194WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S30136MEDICARE UPINWASHINGTON
2GAB09751MEDICARE PIN
39605122MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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