Provider Demographics
NPI:1659106524
Name:CATLI, ANALYN
Entity type:Individual
Prefix:
First Name:ANALYN
Middle Name:
Last Name:CATLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20502 15TH AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7128
Mailing Address - Country:US
Mailing Address - Phone:425-640-0941
Mailing Address - Fax:425-640-8901
Practice Address - Street 1:20502 15TH AVE W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7128
Practice Address - Country:US
Practice Address - Phone:425-640-0941
Practice Address - Fax:425-640-8901
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61095622374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide