Anna Pauline Wilson, ARNP | |
101 W 8th Ave Ste 318c, Spokane, WA 99204-2307 | |
(509) 474-2894 | |
(509) 227-7070 |
Full Name | Anna Pauline Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 101 W 8th Ave Ste 318c, Spokane, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245726363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60868257 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 0345139929 | 694 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Anna Pauline Wilson, ARNP Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Anna Pauline Wilson, ARNP 101 W 8th Ave Ste 318c, Spokane, WA 99204-2307 Ph: (509) 474-2894 |
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