Randall Bradford Choka, FNP | |
229 S 7th St, St Maries, ID 83861-1803 | |
(208) 245-5551 | |
(208) 245-5246 |
Full Name | Randall Bradford Choka |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 229 S 7th St, St Maries, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417206442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60291455 (Washington) | Primary |
Entity Name | Molina Healthcare Of Washington Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912235060 PECOS PAC ID: 1850427527 Enrollment ID: O20100405000336 |
Mailing Address | Practice Location Address |
---|---|
Randall Bradford Choka, FNP 229 S 7th St, St Maries, ID 83861-1803 Ph: (208) 245-5551 | Randall Bradford Choka, FNP 229 S 7th St, St Maries, ID 83861-1803 Ph: (208) 245-5551 |
Peggy L Cuvala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 N 8th St, St Maries, ID 83861 Phone: 208-245-4556 Fax: 208-245-3692 | |
Stephanie Nielsen Baker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 229 S 7th St, St Maries, ID 83861 Phone: 208-245-2591 | |
Ms. Coralyn Marie Furr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St Fl 1, St Maries, ID 83861 Phone: 208-245-7079 Fax: 208-245-5246 | |
Mrs. Kara Leigh Seigley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 S 7th St Fl 3, St Maries, ID 83861 Phone: 208-245-2591 Fax: 208-245-5246 |