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Family Nurse Practitioner
NPI: 1235540881IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
RN60284481(WA)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
AP60506155(WA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2014
Contact & Hours
Via practice · 2 locations total
- Address
- 222 E 2ND ST
GRANDVIEW, WA 98930 - Phone
- (509) 203-6501
Quick Facts
- NPI
- 1235540881
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 12
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