Full Name | |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 202 Lenore Lane, Chelan, Washington |
Authorized Official Name and Position | Desirae Dorsey (NURSE PRACTITIONER) |
Authorized Official Contact | 5093008028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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372 Highway 150 Chelan WA 98816-8005 Ph: (509) 300-8028 | 202 Lenore Lane Chelan WA 98816 Ph: (509) 300-8028 |
NPI Number | 1235982539 |
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Provider Enumeration Date | 04/08/2024 |
Last Update Date | 05/16/2024 |
Certification Date | 05/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235982539 | NPI | - | NPPES |