Full Name | |
---|---|
Speciality | Nurse Practitioner - Primary Care |
Location | 211 W Hill St, Monroe, Washington |
Authorized Official Name and Position | Janice Arliene Winfrey (OWNER, NURSE PRACTITIONER) |
Authorized Official Contact | 3603486090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
18420 209th Ave Se Monroe WA 98272-9272 Ph: (530) 228-4586 | 211 W Hill St Monroe WA 98272-1460 Ph: (530) 228-4586 |
NPI Number | 1902659188 |
---|---|
Provider Enumeration Date | 04/08/2024 |
Last Update Date | 08/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902659188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
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