Provider Demographics
NPI:1780148791
Name:DRIVER, DENISE MARIE (RN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:DRIVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 EASTMONT AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4458
Mailing Address - Country:US
Mailing Address - Phone:509-860-2951
Mailing Address - Fax:
Practice Address - Street 1:2330 N BAKER AVE
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4019
Practice Address - Country:US
Practice Address - Phone:509-884-0523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60846497163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN60846497OtherWA RN LICENSE NUMBER