Laurie Susanne Edinger, FNP | |
502 E Amende Dr, Odessa, WA 99159-7003 | |
(999) 999-9999 | |
Not Available |
Full Name | Laurie Susanne Edinger |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 502 E Amende Dr, Odessa, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720194954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP30007043 (Washington) | Primary |
Entity Name | Lincoln County Public Hospital District 1 |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1073524690 PECOS PAC ID: 1052209152 Enrollment ID: O20041215000890 |
Entity Name | Total Health Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043492655 PECOS PAC ID: 0648356543 Enrollment ID: O20080408000578 |
Mailing Address | Practice Location Address |
---|---|
Laurie Susanne Edinger, FNP 8554 Benewah Creek Rd, St Maries, ID 83861-9367 Ph: (208) 610-6213 | Laurie Susanne Edinger, FNP 502 E Amende Dr, Odessa, WA 99159-7003 Ph: (999) 999-9999 |
Violet Frances Rice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 | |
Deborah A Fogg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 Fax: 509-982-2675 | |
Daniel Glaze, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 |