Gregory Bryant Proulx, ARNP | |
15214 Canyon Rd E, Ste 120, Puyallup, WA 98375-7472 | |
(253) 539-4200 | |
(253) 539-6025 |
Full Name | Gregory Bryant Proulx |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 15214 Canyon Rd E, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982038063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60390201 (Washington) | Primary |
Entity Name | Okanogan Douglas County Hospital Dist 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122 |
Entity Name | Okanogan Douglas County Hospital Dist 1 |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1356305395 PECOS PAC ID: 7810882792 Enrollment ID: O20080107000645 |
Mailing Address | Practice Location Address |
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Gregory Bryant Proulx, ARNP 15214 Canyon Rd E, Ste 120, Puyallup, WA 98375-7472 Ph: (253) 539-4200 | Gregory Bryant Proulx, ARNP 15214 Canyon Rd E, Ste 120, Puyallup, WA 98375-7472 Ph: (253) 539-4200 |
Melinda Moore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674 | |
Oscar Herrera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 | |
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608 | |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 | |
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067 | |
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450 | |
Lisa Ann Oberlander, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 Phone: 253-848-8797 |