Provider Demographics
NPI:1710216601
Name:TILZEY, BETHANY JOY (CD(DONA))
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:JOY
Last Name:TILZEY
Suffix:
Gender:F
Credentials:CD(DONA)
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 105
Mailing Address - Street 2:
Mailing Address - City:VAUGHN
Mailing Address - State:WA
Mailing Address - Zip Code:98394-0105
Mailing Address - Country:US
Mailing Address - Phone:253-884-8088
Mailing Address - Fax:
Practice Address - Street 1:12222 196TH AVE KP N
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98329-5346
Practice Address - Country:US
Practice Address - Phone:253-884-8088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula