Provider Demographics
NPI:1609062678
Name:LITTLE, DEBRA JEAN (ARNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:LITTLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W 8TH AVE
Mailing Address - Street 2:SUITE 6020
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2302
Mailing Address - Country:US
Mailing Address - Phone:509-455-5050
Mailing Address - Fax:509-747-5391
Practice Address - Street 1:105 W 8TH AVE
Practice Address - Street 2:SUITE 6020
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2302
Practice Address - Country:US
Practice Address - Phone:509-455-5050
Practice Address - Fax:509-747-5391
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003161363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology