Provider Demographics
NPI:1700490117
Name:BRUNTON, ERIN ALAYNA (DNP)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ALAYNA
Last Name:BRUNTON
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ALAYNA
Other - Last Name:MOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 BELLWETHER WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2959
Mailing Address - Country:US
Mailing Address - Phone:360-588-2500
Mailing Address - Fax:360-785-2016
Practice Address - Street 1:12 BELLWETHER WAY STE 240
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2959
Practice Address - Country:US
Practice Address - Phone:360-588-2500
Practice Address - Fax:360-785-2016
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61097344363LF0000X, 363LP0808X
WAN361102349363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA61097344OtherDEPARTMENT OF HEALTH