Provider Demographics
NPI:1952355448
Name:BILYARD, CATHERINE SUE (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SUE
Last Name:BILYARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:S
Other - Last Name:SPANTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 1260
Mailing Address - Street 2:
Mailing Address - City:CONNELL
Mailing Address - State:WA
Mailing Address - Zip Code:99326-1260
Mailing Address - Country:US
Mailing Address - Phone:509-234-3410
Mailing Address - Fax:509-234-3412
Practice Address - Street 1:650 S COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:CONNELL
Practice Address - State:WA
Practice Address - Zip Code:99326
Practice Address - Country:US
Practice Address - Phone:509-234-3410
Practice Address - Fax:509-234-3412
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9608118Medicaid
WA0205503OtherLABOR AND INDUSTRIES
WA0205503OtherLABOR AND INDUSTRIES