Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND-377 | CA |
Y | 175F00000X | Naturopath | NT60528476 | WA |
N | 176B00000X | Midwife | LM259 | CA |
N | 176B00000X | Midwife | W60123752 | WA |
NPI | 1134456718 |
---|---|
Provider Name | Dr. Deborah Anne Gleisner |
First Address | Mountlake Terrace, WA 98043-4500 |
Second Address | Mountlake Terrace, WA 98043-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2009 |
Last Update Date | 19/04/2016 |