Mr Tod Pierson Work, NP-C | |
22014 7th Ave S Ste 105b, Des Moines, WA 98198-6235 | |
(253) 347-6099 | |
Not Available |
Full Name | Mr Tod Pierson Work |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 22014 7th Ave S Ste 105b, Des Moines, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871030825 | NPI | - | NPPES |
AP11102 | Other | AZ | ADVANCED NURSE PRACTITIONER LICENSE |
AP60726755 | Other | WA | ADVANCED NURSE PRACTITIONER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60726755 (Washington) | Primary |
Entity Name | Fortuna Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386044477 PECOS PAC ID: 2264721968 Enrollment ID: O20160519001610 |
Mailing Address | Practice Location Address |
---|---|
Mr Tod Pierson Work, NP-C 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499-3037 Ph: (360) 752-0518 | Mr Tod Pierson Work, NP-C 22014 7th Ave S Ste 105b, Des Moines, WA 98198-6235 Ph: (253) 347-6099 |
Lisa M Gillette, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24215 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-436-6380 Fax: 206-436-6385 | |
Ms. Brooke Powers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2781 S 242nd St, Des Moines, WA 98198 Phone: 206-212-4500 Fax: 253-212-4515 | |
Dr. Sarah Ellen Friend, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21615 Pacific Hwy S, Des Moines, WA 98198 Phone: 800-722-3009 | |
Malia Wood- Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22207 7th Ave S, Des Moines, WA 98198 Phone: 206-588-5251 | |
Olga Maria Vizcaino, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22207 7th Ave S, Des Moines, WA 98198 Phone: 206-588-5251 | |
Melissa Pearson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1826 S 250th Pl, Des Moines, WA 98198 Phone: 206-251-3951 | |
Dr. Ezinne Obioma Ndibeshe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22000 Marine View Dr S Ste 200, Des Moines, WA 98198 Phone: 206-592-5940 |