Mick Allen Brown, FNP | |
1226 Highland Ave, Clarkston, WA 99403-2830 | |
(509) 758-4665 | |
(509) 758-4065 |
Full Name | Mick Allen Brown |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1226 Highland Ave, Clarkston, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487295531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP61006342 (Washington) | Primary |
Entity Name | Tri-state Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
Entity Name | Grant County Public Hospital District No. 3 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
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 |
Mailing Address | Practice Location Address |
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Mick Allen Brown, FNP 2636 16th St, Clarkston, WA 99403-2984 Ph: (509) 295-1892 | Mick Allen Brown, FNP 1226 Highland Ave, Clarkston, WA 99403-2830 Ph: (509) 758-4665 |
Jennifer Lynn Nicholas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1433 5th St, Clarkston, WA 99403 Phone: 509-758-5141 Fax: 509-758-5299 | |
Brandon Lane Whitlock, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 5th St, Clarkston, WA 99403 Phone: 509-295-8398 Fax: 509-295-8416 | |
Laure M Larsen, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1119 Highland Ave, Clarkston, WA 99403 Phone: 509-780-4450 Fax: 509-758-3700 | |
Jennifer Seegmiller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1433 5th St, Clarkston, WA 99403 Phone: 509-758-5141 | |
Brian Francis Ciezki, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1625 5th St, Clarkston, WA 99403 Phone: 509-295-8398 Fax: 509-295-8416 | |
Angel D Klippenstein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 Port Dr, Clarkston, WA 99403 Phone: 208-298-0720 Fax: 208-298-0727 | |
Charmaine R Allen-johnson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 Diagonal St, Clarkston, WA 99403 Phone: 509-758-9003 Fax: 509-758-9001 |