Jennifer M Witte, ARNP | |
1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | |
(253) 761-4200 | |
(253) 761-4201 |
Full Name | Jennifer M Witte |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1304 Fawcett Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942503495 | NPI | - | NPPES |
338125 | Other | WA | LNI |
338129 | Other | WA | LNI |
2016165 | Medicaid | WA | |
338127 | Other | WA | LNI |
336824 | Other | WA | LNI |
338122 | Other | WA | LNI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60255926 (Washington) | Primary |
363LF0000X | Nurse Practitioner - Family | 20278 (California) | Secondary |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Tra-minw P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
Entity Name | Union Avenue Open Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
Entity Name | The Carol Milgard Breast Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063661098 PECOS PAC ID: 8022172212 Enrollment ID: O20090203000463 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Witte, ARNP 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200 | Jennifer M Witte, ARNP 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200 |
Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728 | |
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751 | |
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493 | |
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504 | |
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315 | |
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191 |