Mr Jesus Bravo Reyna, NP | |
14434 Ambaum Blvd Sw Ste 5, Burien, WA 98166-1438 | |
(206) 812-6140 | |
(206) 812-2466 |
Full Name | Mr Jesus Bravo Reyna |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 14434 Ambaum Blvd Sw Ste 5, Burien, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528763596 | NPI | - | NPPES |
2249111 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP61382433 (Washington) | Primary |
Entity Name | Sea-mar Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
Mailing Address | Practice Location Address |
---|---|
Mr Jesus Bravo Reyna, NP Po Box 34703, Seattle, WA 98124-1703 Ph: () - | Mr Jesus Bravo Reyna, NP 14434 Ambaum Blvd Sw Ste 5, Burien, WA 98166-1438 Ph: (206) 812-6140 |
Kevin Michael Trippe, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16251 Sylvester Rd Sw, Burien, WA 98166 Phone: 253-426-6341 Fax: 253-426-6344 | |
Lior Habinsky, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15870 1st Ave S # 106, Burien, WA 98148 Phone: 206-242-2501 | |
Patricia Merenda, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16259 Sylvester Rd Sw, Suite 401, Burien, WA 98166 Phone: 206-242-8837 | |
Tatyana Ivanovna Vasilishin, DNP, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16233 Sylvester Rd Sw Ste 260, Burien, WA 98166 Phone: 206-835-7400 Fax: 206-835-7439 | |
Mr. Robert Anthony Yap, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12459 Ambaum Blvd S.w., Unit A, Burien, WA 98146 Phone: 206-403-1819 Fax: 206-588-2752 | |
Paul T. Wilson-grills, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600 Fax: 206-257-6830 | |
Ms. Dee Dee Vasquez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600 |