Diane Demeter Knight, PHD, CPNP, APRN-RX | |
55 W Tietan St, Walla Walla, WA 99362-4445 | |
(509) 525-3720 | |
(509) 522-1593 |
Full Name | Diane Demeter Knight |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 55 W Tietan St, Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851535470 | NPI | - | NPPES |
2067291 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | APRN 301 APRN RX 51 (Hawaii) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | AP60673491 (Washington) | Primary |
Entity Name | Privia Medical Group Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
Mailing Address | Practice Location Address |
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Diane Demeter Knight, PHD, CPNP, APRN-RX 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720 | Diane Demeter Knight, PHD, CPNP, APRN-RX 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720 |
Patrick R Smart, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Poplar St, Sleep Medicine Center, Walla Walla, WA 99362 Phone: 509-522-5946 Fax: 509-522-5527 | |
Delila C Ojeda, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010 | |
Hyunjin Eo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 S 2nd Ave Ste 1, Walla Walla, WA 99362 Phone: 509-398-9699 | |
Ms. Leikin Louise Patrick, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-3333 | |
Emily Grace Castillo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Mary Buriani, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8151 Fax: 509-527-8010 | |
Susan D Collins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010 |