Sharaya Hundeby, ARNP | |
546 N Jefferson Ln, Spokane, WA 99201-7104 | |
(509) 624-0111 | |
Not Available |
Full Name | Sharaya Hundeby |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 546 N Jefferson Ln, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972372902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP61502490 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Sharaya Hundeby, ARNP Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Sharaya Hundeby, ARNP 546 N Jefferson Ln, Spokane, WA 99201-7104 Ph: (509) 624-0111 |
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