| Metta Wellness Nw Pllc | |
|
904 W Riverside Ave Unit 1107 Spokane WA 99210-0329 | |
| (509) 255-3527 | |
| (858) 947-2017 |
| Full Name | Metta Wellness Nw Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 904 W Riverside Ave Unit 1107, Spokane, Washington |
| Authorized Official Name and Position | Brendan Gordon Tennefoss (NURSE PRACTITIONER) |
| Authorized Official Contact | 5092553527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metta Wellness Nw Pllc 904 W Riverside Ave Unit 1107 Spokane WA 99210-0329 Ph: (509) 255-3527 | Metta Wellness Nw Pllc 904 W Riverside Ave Unit 1107 Spokane WA 99210-0329 Ph: (509) 255-3527 |
| NPI Number | 1457958530 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457958530 | NPI | - | NPPES |
| 201709029 | Other | OR | NURSE PRACTITIONER LICENSE |
| 1184127169 | Other | NPI | |
| 1528571130 | Other | NPI | |
| 201803923 | Other | OR | NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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