Kimberly Amelia Rutland, WHNP | |
810 Sixth Ave, Sandpoint, ID 83864-5396 | |
(208) 265-6252 | |
(208) 265-8214 |
Full Name | Kimberly Amelia Rutland |
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Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 810 Sixth Ave, Sandpoint, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073174199 | NPI | - | NPPES |
2171876 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 78336 (Idaho) | Primary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | AP61044089 (Washington) | Secondary |
Entity Name | Pend Oreille County Public Hospital District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Amelia Rutland, WHNP 810 Sixth Ave, Sandpoint, ID 83864-5396 Ph: (208) 265-6252 | Kimberly Amelia Rutland, WHNP 810 Sixth Ave, Sandpoint, ID 83864-5396 Ph: (208) 265-6252 |
Ms. Ann L Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Erin Bass, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Tammy Lynn Undiemi, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-263-3410 Fax: 208-255-4842 | |
Natasha M Splaine-talbott, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 203, Sandpoint, ID 83864 Phone: 304-276-9937 | |
Denise White, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 203, Sandpoint, ID 83864 Phone: 208-265-1046 Fax: 208-265-3756 | |
Anna Mena-schaures, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864 Phone: 208-597-7910 |