Taresa Lynn Michna, NP | |
701 Lewiston St, Cottonwood, ID 83522-9750 | |
(208) 962-3251 | |
(208) 962-2313 |
Full Name | Taresa Lynn Michna |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 701 Lewiston St, Cottonwood, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467901330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP54185 (Idaho) | Primary |
363LF0000X | Nurse Practitioner - Family | 54185 (Idaho) | Secondary |
Entity Name | Clearwater Valley Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
Entity Name | St. Mary's Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
Mailing Address | Practice Location Address |
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Taresa Lynn Michna, NP 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 962-3251 | Taresa Lynn Michna, NP 701 Lewiston St, Cottonwood, ID 83522-9750 Ph: (208) 962-3251 |
Margaret A Gehring, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston Street, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Scarlett Jo Uhlenkott, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston Street, Cottonwood, ID 83522 Phone: 208-962-3267 | |
Briana Sarah Bowden, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Megan E Wilson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Mrs. Brenda Kay Hagemann, MSN, APRN, BC FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 |