Basic Information
Provider Information
NPI: 1578854188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAHILL
FirstName: DEBORAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 820 N CHELAN AVE
Address2:  
City: WENATCHEE
State: WA
PostalCode: 988012028
CountryCode: US
TelephoneNumber: 5096638711
FaxNumber:  
Practice Location
Address1: 1201 S MILLER ST
Address2:  
City: WENATCHEE
State: WA
PostalCode: 988013201
CountryCode: US
TelephoneNumber: 5096638711
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/29/2011
LastUpdateDate: 12/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPN.0991075-NPCON Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X33548.1313WYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X201503277MP-PPORN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XAP60839116WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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