Provider Demographics
NPI:1902156862
Name:GILES, MARIYA V (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIYA
Middle Name:V
Last Name:GILES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARIYA
Other - Middle Name:
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:508 W. 6TH AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204
Mailing Address - Country:US
Mailing Address - Phone:509-747-1624
Mailing Address - Fax:509-747-6774
Practice Address - Street 1:508 W. 6TH AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204
Practice Address - Country:US
Practice Address - Phone:509-747-1624
Practice Address - Fax:509-747-6774
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60307276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily