Provider Demographics
NPI:1265513790
Name:FLIRIS, CATHY L (DNP, ARNP, FNP)
Entity type:Individual
Prefix:DR
First Name:CATHY
Middle Name:L
Last Name:FLIRIS
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 MALABAR DR
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-7577
Mailing Address - Country:US
Mailing Address - Phone:307-340-0641
Mailing Address - Fax:
Practice Address - Street 1:540 N WEST AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1251
Practice Address - Country:US
Practice Address - Phone:360-435-8262
Practice Address - Fax:360-474-1394
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60663111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY121907300Medicaid
WYQ16578Medicare UPIN