Erin Marie Godfrey, NP | |
2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | |
(360) 330-9595 | |
(360) 330-9530 |
Full Name | Erin Marie Godfrey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2690 Ne Kresky Ave, Chehalis, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902350937 | NPI | - | NPPES |
220212 | Medicaid | WA | |
AP61027940 | Other | WA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 7116-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61027940 (Washington) | Primary |
Entity Name | Lewis County Community Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
Entity Name | Daiya Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20190501001702 |
Mailing Address | Practice Location Address |
---|---|
Erin Marie Godfrey, NP 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9543 | Erin Marie Godfrey, NP 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 |
Kelly Ann Lagervall, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 539 Us Highway 12, Chehalis, WA 98532 Phone: 253-350-5339 | |
Jennifer O'brien, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9560 | |
Kalob K Rahn, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Se Washington Ave, Chehalis, WA 98532 Phone: 360-748-4776 | |
Miss Marles Jean Geist, RN, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Bishop Rd, Chehalis, WA 98532 Phone: 360-345-1381 Fax: 360-345-1382 | |
Erin N Chase, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1299 Bishop Rd, Chehalis, WA 98532 Phone: 360-748-0211 Fax: 360-740-4170 | |
Alena F Ponkratov, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 | |
Christiaan Collier, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 |