Ian Serrato, | |
4800 College St Se, Lacey, WA 98503-4389 | |
(360) 493-4500 | |
(360) 412-6510 |
Full Name | Ian Serrato |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 4800 College St Se, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124509351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP61181633 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Ian Serrato, 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 493-4500 | Ian Serrato, 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 493-4500 |
Cynthia A Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 Fax: 360-413-6509 | |
Sheree Harvey, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840 | |
Jodi Fischer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Carrie Welty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200 | |
Consilia Samkia Yeluma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-8951 | |
Mr. Prachanda Khadka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225 | |
Meghan Neal, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 |