Beverly Ann Huddleston, ARNP | |
1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531-8877 | |
(360) 330-8950 | |
(360) 330-8955 |
Full Name | Beverly Ann Huddleston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 1000 S Scheuber Rd, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063521870 | NPI | - | NPPES |
9612268 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | AP30004059 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Beverly Ann Huddleston, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: (360) 486-6508 | Beverly Ann Huddleston, ARNP 1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531-8877 Ph: (360) 330-8950 |
Lisa Archer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3687 Cooks Hill Rd, Centralia, WA 98531 Phone: 210-284-2787 | |
Therese Henry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 | |
Mr. Marshall Jonathon Saipher, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 917 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-9384 | |
Jean Clement Nikubwayo, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Duane Edward Patterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 Fax: 360-736-3139 | |
Ms. Bethany Anne Krieger, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 |