Laurie Lee Johnson Driese, CNM | |
939 Caroline St, Port Angeles, WA 98362-3909 | |
(360) 565-0999 | |
(360) 452-7303 |
Full Name | Laurie Lee Johnson Driese |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 939 Caroline St, Port Angeles, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609909209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | AP60151019 (Washington) | Primary |
Entity Name | Olympic Medical Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246 |
Mailing Address | Practice Location Address |
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Laurie Lee Johnson Driese, CNM Po Box 850, Port Angeles, WA 98362-0146 Ph: (360) 565-9237 | Laurie Lee Johnson Driese, CNM 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 565-0999 |
Jacqueline Clubine, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 433 E 8th St, Port Angeles, WA 98362 Phone: 360-565-0999 | |
Mrs. Cheri Kate Shields, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 | |
Deborah Grace Bopp, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St # 3e, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 | |
Cheri Van Hoover, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1106 E 1st St, Port Angeles, WA 98362 Phone: 360-452-2954 | |
Eleanor Margaret Gardner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 433 E 8th St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 |