Provider Demographics
NPI:1174152060
Name:STAABEN, MARCELLA JOY DAY (DNP, ARNP)
Entity type:Individual
Prefix:DR
First Name:MARCELLA
Middle Name:JOY DAY
Last Name:STAABEN
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:MARCELLA
Other - Middle Name:JOY
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:509-626-9420
Mailing Address - Fax:509-227-7070
Practice Address - Street 1:9911 N NEVADA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1298
Practice Address - Country:US
Practice Address - Phone:509-626-9420
Practice Address - Fax:509-227-7070
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61050693363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily