Provider Demographics
NPI:1356479448
Name:FLOOD, MARIBETH E (ARNP RN CNS LMHC)
Entity Type:Individual
Prefix:MS
First Name:MARIBETH
Middle Name:E
Last Name:FLOOD
Suffix:
Gender:F
Credentials:ARNP RN CNS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4037
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501
Mailing Address - Country:US
Mailing Address - Phone:360-357-9200
Mailing Address - Fax:360-357-9201
Practice Address - Street 1:2217 CAPITAL WAY SOUTH
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501
Practice Address - Country:US
Practice Address - Phone:360-357-9200
Practice Address - Fax:360-357-9201
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003244363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner