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10454 Fox Rd, Leavenworth, WA 98826-9515 | |
(509) 548-4780 | |
(509) 888-3956 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 10454 Fox Rd, Leavenworth, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750657730 | NPI | - | NPPES |
Provider Name | Sarah Lenore Piestrup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396806196 PECOS PAC ID: 8820231533 Enrollment ID: I20130828000613 |
Mailing Address | Practice Location Address |
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10454 Fox Rd, Leavenworth, WA 98826-9515 Ph: (509) 548-4780 | 10454 Fox Rd, Leavenworth, WA 98826-9515 Ph: (509) 548-4780 |