Mrs Tracy P Svoboda, APN | |
2428 W Reynolds Ave, Centralia, WA 98531 | |
(360) 669-0335 | |
(360) 669-0527 |
Full Name | Mrs Tracy P Svoboda |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2428 W Reynolds Ave, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861733529 | NPI | - | NPPES |
2038339 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60455419 (Washington) | Primary |
363LF0000X | Nurse Practitioner - Family | AP60455419 (Washington) | Secondary |
Entity Name | Lewis County Mental Health Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracy P Svoboda, APN 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 | Mrs Tracy P Svoboda, APN 2428 W Reynolds Ave, Centralia, WA 98531 Ph: (360) 669-0335 |
Lisa Archer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3687 Cooks Hill Rd, Centralia, WA 98531 Phone: 210-284-2787 | |
Beverly Ann Huddleston, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531 Phone: 360-330-8950 Fax: 360-330-8955 | |
Therese Henry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 | |
Mr. Marshall Jonathon Saipher, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 917 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-9384 | |
Jean Clement Nikubwayo, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Duane Edward Patterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 Fax: 360-736-3139 | |
Ms. Bethany Anne Krieger, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 |