Individual provider · Type 1 NPI
Landi M. Tillis
Family Nurse Practitioner · Seattle, WA
NPI number
1962036939
Active
Practice location
1959 NE Pacific St
Seattle, WA 98195-0001
Mailing address
2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Other practice locations
- 901 S 5th St, Mount Vernon, WA 98274-3942 · (360) 428-6434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP61349220 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP61349220 (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962036939
Landi M. Tillis's National Provider Identifier is 1962036939, issued on Feb 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Seattle, WA. The record was last updated on Jan 2, 2025.