Tevon Andre Dubois, ARNP | |
3473 Wildes Rd, Clinton, WA 98236-9309 | |
(206) 551-3587 | |
Not Available |
Full Name | Tevon Andre Dubois |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3473 Wildes Rd, Clinton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407516578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61245713 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
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Tevon Andre Dubois, ARNP 3473 Wildes Rd, Clinton, WA 98236-9309 Ph: (206) 551-3587 | Tevon Andre Dubois, ARNP 3473 Wildes Rd, Clinton, WA 98236-9309 Ph: (206) 551-3587 |
Vicki R Werve, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11245 Sr 525, Clinton, WA 98236 Phone: 360-341-5252 Fax: 360-341-8727 | |
Sharon Kay Corriveau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8150 Lopez Dr, Clinton, WA 98236 Phone: 703-380-2189 | |
Chanel Jost, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3491 Wildes Rd, Clinton, WA 98236 Phone: 703-300-1880 |