Jared Dudley, ARNP | |
5901 N Lidgerwood St Ste 220, Spokane, WA 99208-1122 | |
(509) 483-4060 | |
(509) 483-0043 |
Full Name | Jared Dudley |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5901 N Lidgerwood St Ste 220, 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 |
---|---|---|---|
1417459850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60852925 (Washington) | Primary |
Entity Name | Goodwin Health Cafe, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003386871 PECOS PAC ID: 2668709361 Enrollment ID: O20190802001764 |
Mailing Address | Practice Location Address |
---|---|
Jared Dudley, ARNP 6378 Sundown Dr, Nine Mile Falls, WA 99026-9545 Ph: (509) 251-7857 | Jared Dudley, ARNP 5901 N Lidgerwood St Ste 220, Spokane, WA 99208-1122 Ph: (509) 483-4060 |
Katie L Gomez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-1420 | |
Kristin Walters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 450, Spokane, WA 99204 Phone: 509-455-8820 | |
Anna Denton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-0111 Fax: 509-482-2133 | |
Michael Colver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Heidi A Weitzel, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 | |
Brittanee R Worthy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E Rowan Ave Ste 300, Spokane, WA 99207 Phone: 509-489-3554 Fax: 509-489-3558 | |
Diane C Beernink, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5921 M Market St, Spokane, WA 99208 Phone: 509-487-1604 Fax: 509-482-6286 |