Provider Demographics
NPI:1376072587
Name:DIULIO, DEANNA LYNN (WHNP, CNM)
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:LYNN
Last Name:DIULIO
Suffix:
Gender:F
Credentials:WHNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 TERRY AVE FL 8
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2735
Mailing Address - Country:US
Mailing Address - Phone:206-287-6300
Mailing Address - Fax:206-341-1250
Practice Address - Street 1:1201 TERRY AVE FL 8
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2735
Practice Address - Country:US
Practice Address - Phone:206-287-6300
Practice Address - Fax:206-341-1250
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60763624367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2084128Medicaid