Brenton Wilson, APRN,CRNA | |
101 W 8th Ave, Spokane, WA 99204-2307 | |
(509) 747-3181 | |
(509) 227-7070 |
Full Name | Brenton Wilson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 101 W 8th Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073290342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP61480337 (Washington) | Primary |
Entity Name | Innovis Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Mailing Address | Practice Location Address |
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Brenton Wilson, APRN,CRNA Po Box 4069, Everett, WA 98204-0007 Ph: (142) 540-7100 | Brenton Wilson, APRN,CRNA 101 W 8th Ave, Spokane, WA 99204-2307 Ph: (509) 747-3181 |
Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Leah Nicole Triulzi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-5800 | |
Amber George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 Fax: 509-227-7070 | |
Miss Diana Marie Bouge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Douglas G Demmert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 842 S Cowley St, Ste 3, Spokane, WA 99202 Phone: 509-939-3483 Fax: 509-228-9542 | |
Krista Hillary Baca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, Suite 250e, Spokane, WA 99204 Phone: 509-838-1547 Fax: 509-835-4058 | |
Mrs. Karli Meehan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-458-5800 |