Janell Long, ANRP | |
605 E Holland Ave, Spokane, WA 99218-2225 | |
(509) 342-3380 | |
Not Available |
Full Name | Janell Long |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 605 E Holland Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912632381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP.61331405 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Janell Long, ANRP 605 S Pineview Dr, Medical Lake, WA 99022-8722 Ph: (097) 688-4945 | Janell Long, ANRP 605 E Holland Ave, Spokane, WA 99218-2225 Ph: (509) 342-3380 |
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