Mrs Melinda Cecile Ekholm, ARNP is a
Nurse Practitioner - Family based in Loon Lake, Washington. Mrs Melinda Cecile Ekholm is licensed to practice in Washington (license number AP30005591) and her current practice location is
3994 Colville Rd, Loon Lake, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 233-8412.
NPI number for Mrs Melinda Cecile Ekholm is 1912008988 and her current mailing address is 3994 Colville Rd, Po Box 303, Loon Lake, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912008988.
Provider's Profile
| Full Name | Mrs Melinda Cecile Ekholm |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3994 Colville Rd, Loon Lake, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912008988
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 03/31/2008
Medical Identifiers
Medical identifiers for Mrs Melinda Cecile Ekholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912008988 | NPI | - | NPPES |
| 9629320 | Medicaid | WA | |
| 143010 | Other | WA | LABOR & INDUSTRIES ID # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP30005591 (Washington) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN00082739 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Melinda Cecile Ekholm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Melinda Cecile Ekholm, ARNP
3994 Colville Rd, Po Box 303,
Loon Lake, WA 99148-9789
Ph: (509) 233-8412 | Mrs Melinda Cecile Ekholm, ARNP
3994 Colville Rd,
Loon Lake, WA 99148-9789
Ph: (509) 233-8412 |
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