Wendy C Imberg, ARNP | |
19200 N Kelsey St, Monroe, WA 98272-1431 | |
(360) 794-7994 | |
(360) 805-4755 |
Full Name | Wendy C Imberg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 19200 N Kelsey St, Monroe, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578664132 | NPI | - | NPPES |
9611518 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP30002555 (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 |
---|---|
Wendy C Imberg, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Wendy C Imberg, ARNP 19200 N Kelsey St, Monroe, WA 98272-1431 Ph: (360) 794-7994 |
Kayla Marie Johnson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14090 Fryelands Blvd, Ste 274, Monroe, WA 98272 Phone: 360-805-0112 | |
Ms. Sharon Ponty Hill, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15228 Woods Creek Rd, Monroe, WA 98272 Phone: 206-328-7722 Fax: 206-720-4657 | |
Mrs. Christi A. Emmons, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14841 179th Ave Se Ste 210, Monroe, WA 98272 Phone: 360-217-1155 | |
Jensen Dockendorf, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 909 W Main St Ste 109, Monroe, WA 98272 Phone: 425-418-2434 | |
Lindsay Petty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 | |
Briana Rice, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14841 179th Ave Se Ste 210, Monroe, WA 98272 Phone: 360-217-1155 Fax: 360-217-1154 | |
Ms. Sheryl E Allbert, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16730 177th Ave Se, Monroe, WA 98272 Phone: 360-794-2227 |