| Docnursemhc, Llc | |
|
165 E Hawthorne Ave Colville WA 99114-2629 | |
| (205) 475-3908 | |
| Not Available |
| Full Name | Docnursemhc, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 165 E Hawthorne Ave, Colville, Washington |
| Authorized Official Name and Position | Audry Gorman (CRNP) |
| Authorized Official Contact | 2054753908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Docnursemhc, Llc 6718 Ridgecrest Cir Mc Calla AL 35111-3960 Ph: (205) 475-3908 | Docnursemhc, Llc 165 E Hawthorne Ave Colville WA 99114-2629 Ph: (205) 475-3908 |
| NPI Number | 1346712999 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346712999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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