Ms Petrina E Gavrilis, RN, ARNP | |
1125 Se Washington St., Pullman, WA 99164 | |
(509) 335-3575 | |
(509) 335-6223 |
Full Name | Ms Petrina E Gavrilis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1125 Se Washington St., Pullman, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700958493 | NPI | - | NPPES |
G8969934 | Other | WA | WVH PTAN |
G8969935 | Other | WA | WVH PTAN |
1700958493 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60410653 (Washington) | Primary |
Entity Name | Littlerock Family Medicine Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689994527 PECOS PAC ID: 0042453748 Enrollment ID: O20130828000531 |
Mailing Address | Practice Location Address |
---|---|
Ms Petrina E Gavrilis, RN, ARNP Po Box 642302, Pullman, WA 99164-2302 Ph: (509) 335-3575 | Ms Petrina E Gavrilis, RN, ARNP 1125 Se Washington St., Pullman, WA 99164 Ph: (509) 335-3575 |
Pam Spens, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 Se Washington St, Pullman, WA 99164 Phone: 509-335-5315 | |
Kathleen Elizabeth Kincaid, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 Se Washington Street, Pullman, WA 99164 Phone: 509-335-3575 | |
Cynthia Louise Anderson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2560 Ne Hopkins Court, Pullman, WA 99164 Phone: 509-338-3800 Fax: 509-339-2702 | |
Jennifer Marie Wilkinson, APRN, PMHNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 Se Washington St, Pullman, WA 99164 Phone: 509-335-3575 Fax: 509-335-6223 | |
Morgan Elizabeth Burke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 | |
Angeline Elizabeth Smith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Ne Valley Rd, Pullman, WA 99163 Phone: 509-332-3548 | |
Ashley Rebecca Wilson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1525 Se King Drive, Pullman, WA 99163 Phone: 866-904-7721 Fax: 509-248-3644 |