Jennifer Therese Anderson, | |
1203 Idaho St, Lewiston, ID 83501-1940 | |
(509) 444-8200 | |
Not Available |
Full Name | Jennifer Therese Anderson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1203 Idaho St, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790400992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN00124469 (Washington) | Secondary |
363L00000X | Nurse Practitioner | 72977 (Idaho) | Primary |
Entity Name | Community Health Association Of Spokane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235372707 PECOS PAC ID: 9638063217 Enrollment ID: O20090723000312 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Therese Anderson, 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8200 | Jennifer Therese Anderson, 1203 Idaho St, Lewiston, ID 83501-1940 Ph: (509) 444-8200 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 | |
Ms. Leslie Corrine Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-263-9757 Fax: 208-965-8128 |