Dr Jonathan Holloway, DNP | |
803 S Main St Ste 210, Moscow, ID 83843-2695 | |
(509) 228-1000 | |
(509) 252-9300 |
Full Name | Dr Jonathan Holloway |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 803 S Main St Ste 210, Moscow, Idaho |
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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1760089841 | NPI | - | NPPES |
Entity Name | Commonwealth Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Mailing Address | Practice Location Address |
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Dr Jonathan Holloway, DNP Po Box 500409, Saipan, MP 96950-0409 Ph: () - | Dr Jonathan Holloway, DNP 803 S Main St Ste 210, Moscow, ID 83843-2695 Ph: (509) 228-1000 |
Joanne L Braun, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 623 South Main Street, M/med/qi, Sa-1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Sara B Presol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 Fax: 208-882-7567 | |
Mrs. Deborah Wynne Medel, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 | |
Stephanie Nicole Voss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 110, Moscow, ID 83843 Phone: 208-813-7519 | |
Fawna Sunshine Huffman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 W A St, Moscow, ID 83843 Phone: 208-883-1135 Fax: 208-892-0174 | |
Clint Emmett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Perimeter Dr # Ms 3140, Moscow, ID 83844 Phone: 208-885-6716 Fax: 208-885-4354 | |
Rachel Carnes, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 |