Hallie Granville, ARNP | |
924 W Hazel St, Mount Vernon, WA 98273-9513 | |
(360) 395-5550 | |
Not Available |
Full Name | Hallie Granville |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 924 W Hazel St, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649814658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | AP61012020 (Washington) | Primary |
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Hallie Granville, ARNP 924 W Hazel St, Mount Vernon, WA 98273-9513 Ph: (360) 395-5550 | Hallie Granville, ARNP 924 W Hazel St, Mount Vernon, WA 98273-9513 Ph: (360) 395-5550 |
Kelsey Rae Chambers, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-5892 Fax: 360-848-4596 | |
Heidi Christine Wallace, ARNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-5892 Fax: 360-848-4596 | |
Lynnette L Gerhard, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2575 Fax: 360-428-6485 | |
M Eileen Robinson, RNC, ARNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 617 W Blackburn Rd, Mount Vernon, WA 98273 Phone: 360-500-6097 |