Mitchell J Parks, DNP, ARNP, FNP-BC | |
1350 N Grant St, Kennewick, WA 99336-1355 | |
(509) 735-2014 | |
Not Available |
Full Name | Mitchell J Parks |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1350 N Grant St, Kennewick, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235762782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN60464733 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61167472 (Washington) | Primary |
Entity Name | Center For Functional Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295470268 PECOS PAC ID: 7012396674 Enrollment ID: O20220829003832 |
Mailing Address | Practice Location Address |
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Mitchell J Parks, DNP, ARNP, FNP-BC 1350 N Grant St, Kennewick, WA 99336-1355 Ph: (509) 735-2014 | Mitchell J Parks, DNP, ARNP, FNP-BC 1350 N Grant St, Kennewick, WA 99336-1355 Ph: (509) 735-2014 |
Nichole Marie Green, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8503 W Clearwater Ave Ste B, Kennewick, WA 99336 Phone: 509-303-3428 | |
Mrs. Stacey Ann Deschamps, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Colorado St, Suite D, Kennewick, WA 99336 Phone: 509-735-8600 Fax: 509-783-7354 | |
Christine A Acker, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7201 W Grandridge Blvd, Suite 101, Kennewick, WA 99336 Phone: 509-735-2325 Fax: 509-735-3222 | |
Ms. Marylu Helen Vait, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 W Gage Blvd, Kennewick, WA 99336 Phone: 509-735-1100 Fax: 509-735-1180 | |
Debra K Macdonald, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 N Louisiana St # A737, Kennewick, WA 99336 Phone: 509-628-1958 Fax: 509-628-1959 | |
Mary Elizabeth Swihart, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 S Zintel Way Fl 2, Kennewick, WA 99337 Phone: 509-942-3125 Fax: 509-585-8173 | |
Alana Berdiyev, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 S Louisiana St Ste A120, Kennewick, WA 99336 Phone: 509-491-1944 |