Zachary Lee Deffinbaugh, FNP
Nurse Practitioner, Family in Ellensburg, WA. Individual provider (NPI-1).
NPI number1073005443
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1073005443
- Entity type
- Individual (NPI-1)
- Name
- Zachary Lee Deffinbaugh
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2018
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 130737 | MT | Yes |
Practice location
100 W 3rd Ave # AEllensburg, WA 98926-3354
Phone 509-388-2345 · Fax 509-388-0291
Mailing address
100 W 3rd Ave # AEllensburg, WA 98926-3354
Phone 509-388-2345 · Fax 509-388-0291
Other practice locations
1650 Cochrane Cir # B7500na
Fort Carson, CO 80913-4613
Fort Carson, CO 80913-4613
Phone 406-899-7723
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