Danielle De La Pena, NP | |
273 Sussex Ave E, Tenino, WA 98589-9359 | |
(360) 264-5665 | |
(360) 264-5666 |
Full Name | Danielle De La Pena |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 273 Sussex Ave E, Tenino, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104464049 | NPI | - | NPPES |
2256954 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP61462577 (Washington) | Primary |
Entity Name | Lewis County Community Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
Mailing Address | Practice Location Address |
---|---|
Danielle De La Pena, NP 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 | Danielle De La Pena, NP 273 Sussex Ave E, Tenino, WA 98589-9359 Ph: (360) 264-5665 |
Karen M Carlson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 | |
Amy Jo Dupuis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 | |
Ms. Janet Lynn Black, ARNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 |