Doctor Of Nursing Practice Primary Care Llc | |
3904 E Mullan Ave Ste C Post Falls ID 83854-4009 | |
(208) 786-0569 | |
Not Available |
Full Name | Doctor Of Nursing Practice Primary Care Llc |
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Speciality | Clinic/Center |
Location | 3904 E Mullan Ave Ste C, Post Falls, Idaho |
Authorized Official Name and Position | Andrea L Garey (MANAGER) |
Authorized Official Contact | 2087860569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Doctor Of Nursing Practice Primary Care Llc 1869 E Seltice Way # 365 Post Falls ID 83854-7019 Ph: (208) 786-0569 | Doctor Of Nursing Practice Primary Care Llc 3904 E Mullan Ave Ste C Post Falls ID 83854-4009 Ph: (208) 786-0569 |
NPI Number | 1811725088 |
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Provider Enumeration Date | 07/22/2024 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 4486195690 |
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Medicare Enrollment ID | O20240916000892 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811725088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Andrea Lynn Garey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952063802 PECOS PAC ID: 1052709060 Enrollment ID: I20211025001841 |
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