Audra Danielle Washo, APN | |
403 E 1st St, Dixon, IL 61021 | |
(815) 284-5710 | |
(815) 285-5893 |
Full Name | Audra Danielle Washo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 403 E 1st St, Dixon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063938413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209016371 (Illinois) | Primary |
Entity Name | Ksb Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Mailing Address | Practice Location Address |
---|---|
Audra Danielle Washo, APN 403 E 1st St, Dixon, IL 61021-3187 Ph: (815) 284-5710 | Audra Danielle Washo, APN 403 E 1st St, Dixon, IL 61021 Ph: (815) 284-5710 |
Christina Iyer, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 N Galena Ave, Dixon, IL 61021 Phone: 815-288-1235 Fax: 815-288-0034 | |
Ms. Janet I. Malmberg, APN, RNC, WHNP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 South Galena Ave, Suite 100, Dixon, IL 61021 Phone: 815-284-3371 Fax: 815-288-1811 | |
Valarie Pfoutz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 | |
Kristina Kay Mershon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 N Brinton Ave, Dixon, IL 61021 Phone: 815-288-5561 | |
Jill C Obrien, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Jacqueline D Keck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 N Galena Ave, Suite 200, Dixon, IL 61021 Phone: 815-285-2273 Fax: 815-285-2276 |