Kirstin Nelson, RD | |
638 Okoma Dr, Omak, WA 98841-9525 | |
(509) 826-1550 | |
(509) 826-1525 |
Full Name | Kirstin Nelson |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 638 Okoma Dr, Omak, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417340548 | NPI | - | NPPES |
175417 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Northern Arizona Healthcare Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Kirstin Nelson, RD Po Box 3054, Omak, WA 98841-3054 Ph: (509) 826-1550 | Kirstin Nelson, RD 638 Okoma Dr, Omak, WA 98841-9525 Ph: (509) 826-1550 |
Erin Eileen Hull, RDN, LD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Lindell Rd, Omak, WA 98841 Phone: 702-683-9927 | |
Mrs. Ruthmarie Graybill Lavezzo, R.D. CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 810 Jasmine, Omak, WA 98841 Phone: 509-826-3158 Fax: 509-826-2200 | |
Alissa Maureen Blakley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Po Box 3054, Omak, WA 98841 Phone: 509-826-1550 |