Provider Demographics
NPI:1013262617
Name:SLOTHOUBER GILES, FRANSJE JEREONTJE (DNP, NP-C)
Entity type:Individual
Prefix:DR
First Name:FRANSJE
Middle Name:JEREONTJE
Last Name:SLOTHOUBER GILES
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:FRANSJE
Other - Middle Name:JEROENTJE
Other - Last Name:SLOTHOUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2901 BRIDGEPORT WAY W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-4614
Mailing Address - Country:US
Mailing Address - Phone:253-534-7000
Mailing Address - Fax:253-627-6576
Practice Address - Street 1:2901 BRIDGEPORT WAY W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4614
Practice Address - Country:US
Practice Address - Phone:253-534-7000
Practice Address - Fax:253-627-6576
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60686034363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2072740Medicaid