Molina Healthcare Of Washington, Inc | |
3322 Broadway, Suite 200 Everett WA 98201-4425 | |
(562) 499-6191 | |
(562) 499-6171 |
Full Name | Molina Healthcare Of Washington, Inc |
---|---|
Speciality | Family Medicine |
Location | 3322 Broadway,, Everett, Washington |
Authorized Official Name and Position | Gloria Calderon (VP CLINIC OPERATIONS) |
Authorized Official Contact | 5624996191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Molina Healthcare Of Washington, Inc 200 Oceangate, Suite 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Healthcare Of Washington, Inc 3322 Broadway, Suite 200 Everett WA 98201-4425 Ph: (562) 499-6191 |
NPI Number | 1912235060 |
---|---|
Provider Enumeration Date | 12/01/2009 |
Last Update Date | 09/27/2011 |
Medicare PECOS PAC ID | 1850427527 |
---|---|
Medicare Enrollment ID | O20100405000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912235060 | NPI | - | NPPES |
2005288 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Susan A Baerg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255376596 PECOS PAC ID: 4183728470 Enrollment ID: I20070326000450 |
Provider Name | Wendy C Imberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578664132 PECOS PAC ID: 0749344869 Enrollment ID: I20090204000019 |
Provider Name | Arlene Maria Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982875035 PECOS PAC ID: 8921291121 Enrollment ID: I20101020000815 |
Provider Name | Carina C Hopen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437139417 PECOS PAC ID: 6305026345 Enrollment ID: I20110209000309 |
Provider Name | Gwendolyn Lucas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821393083 PECOS PAC ID: 0446430334 Enrollment ID: I20110209001058 |
Provider Name | Michele Gunderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851694673 PECOS PAC ID: 4587818570 Enrollment ID: I20130128000408 |
Provider Name | Francisco Banez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275972655 PECOS PAC ID: 3476742834 Enrollment ID: I20130905000488 |
Provider Name | Randall B Choka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417206442 PECOS PAC ID: 2567606981 Enrollment ID: I20140203000454 |
Provider Name | Nichole B Roller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780004473 PECOS PAC ID: 3173741956 Enrollment ID: I20140820002877 |
Provider Name | Calperna C Lucas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609204742 PECOS PAC ID: 2668694043 Enrollment ID: I20141119002622 |
Provider Name | Jean M Rohrer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578635405 PECOS PAC ID: 6204850878 Enrollment ID: I20160725001221 |
Provider Name | Kaari Maurelle Corbridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255889044 PECOS PAC ID: 0941588362 Enrollment ID: I20161104001461 |
Provider Name | Carmen C. Bowie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215485321 PECOS PAC ID: 5890083737 Enrollment ID: I20170222001599 |
Provider Name | Savanna L Griffith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740694934 PECOS PAC ID: 1759507734 Enrollment ID: I20171013001703 |
Provider Name | Shahriyar A Leilabadi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710062245 PECOS PAC ID: 1153427976 Enrollment ID: I20171110001109 |
Provider Name | Anna L Timbol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023496668 PECOS PAC ID: 4880902832 Enrollment ID: I20171211001066 |
Provider Name | Molly C Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457861114 PECOS PAC ID: 1456610518 Enrollment ID: I20180117001881 |
Provider Name | Emily C Wong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861820425 PECOS PAC ID: 9436410396 Enrollment ID: I20180312000026 |
Provider Name | Shanna Marie Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144625542 PECOS PAC ID: 7810212248 Enrollment ID: I20181025001817 |
Provider Name | Lucy Wanjiru Chege |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336511575 PECOS PAC ID: 3779822754 Enrollment ID: I20190308002640 |
Provider Name | Binisha Shrestha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235658618 PECOS PAC ID: 5092048520 Enrollment ID: I20190614000817 |
Provider Name | Amanda B Ginovsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760737027 PECOS PAC ID: 7315194628 Enrollment ID: I20190826002328 |
Provider Name | Linnea Hope Deluna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235600651 PECOS PAC ID: 5092044263 Enrollment ID: I20190912003553 |
Provider Name | Titus Koipaton Sairo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528510898 PECOS PAC ID: 9739512898 Enrollment ID: I20191203001471 |
Provider Name | Stephanie Ann Sanderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205477361 PECOS PAC ID: 2567895501 Enrollment ID: I20191205002765 |
Provider Name | Toe Kyaw Zaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174174247 PECOS PAC ID: 3274968623 Enrollment ID: I20200114000946 |
Provider Name | Muna I Osman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578031266 PECOS PAC ID: 0840627451 Enrollment ID: I20200220001197 |
Provider Name | Lourdes Mejia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326301094 PECOS PAC ID: 2567769961 Enrollment ID: I20200311000905 |
Provider Name | Jacinta Chinazor Maghiro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578123824 PECOS PAC ID: 9830527910 Enrollment ID: I20200324001890 |
Provider Name | Andrea Lynn Day |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669747473 PECOS PAC ID: 0547699423 Enrollment ID: I20200327001514 |
Provider Name | Liliana Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447571146 PECOS PAC ID: 2163694613 Enrollment ID: I20200625001280 |
Provider Name | Angelica Orozco Kominsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427696236 PECOS PAC ID: 3375961535 Enrollment ID: I20200921000972 |
Provider Name | Michelle Heinrich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861823049 PECOS PAC ID: 3678992179 Enrollment ID: I20201002000566 |
Provider Name | Theresa Lynn Kauth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003211012 PECOS PAC ID: 3476877853 Enrollment ID: I20201029002840 |
Provider Name | Kathryn A Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689140931 PECOS PAC ID: 4486994779 Enrollment ID: I20201109002492 |
Provider Name | Andy Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063910933 PECOS PAC ID: 4789946203 Enrollment ID: I20201119001946 |
Provider Name | Richard Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215491915 PECOS PAC ID: 6800126491 Enrollment ID: I20201124000404 |
Provider Name | Dianna L. Baca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740832401 PECOS PAC ID: 3476880915 Enrollment ID: I20201208003320 |
Provider Name | Julie J Mann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255722484 PECOS PAC ID: 8527389253 Enrollment ID: I20201215001688 |
Provider Name | Shana S Oroark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093903270 PECOS PAC ID: 3678657871 Enrollment ID: I20201223002582 |
Provider Name | Gabriela Ivette Flores Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124525076 PECOS PAC ID: 0446581730 Enrollment ID: I20201230001481 |
Provider Name | Monique Spears |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952945438 PECOS PAC ID: 3173955234 Enrollment ID: I20210107001079 |
Provider Name | Samuel Hally |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982210795 PECOS PAC ID: 7012329386 Enrollment ID: I20210209002747 |
Provider Name | Christina L Broughton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699273375 PECOS PAC ID: 2567724008 Enrollment ID: I20210211003351 |
Provider Name | Mary Elleinne Felix Valentin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588264287 PECOS PAC ID: 2860807153 Enrollment ID: I20210218002518 |
Provider Name | Justen T Durr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558911719 PECOS PAC ID: 6406280288 Enrollment ID: I20210315002453 |
Provider Name | Cidnee Allyse Stradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285225953 PECOS PAC ID: 1557776986 Enrollment ID: I20210526001904 |
Provider Name | Amanda Spayde-baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760054845 PECOS PAC ID: 6608279716 Enrollment ID: I20210727003646 |
Provider Name | Heather D Mai-roecker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174836084 PECOS PAC ID: 7517150758 Enrollment ID: I20210824000702 |
Provider Name | Jessica Lynn Day |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588896773 PECOS PAC ID: 2264837319 Enrollment ID: I20210827000260 |
Provider Name | Ji Young An |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205435757 PECOS PAC ID: 5092121798 Enrollment ID: I20210908004128 |
Provider Name | Jocelynne Marquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982288783 PECOS PAC ID: 9234538430 Enrollment ID: I20210916002377 |
Provider Name | Tera Riddick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437683174 PECOS PAC ID: 2860896610 Enrollment ID: I20211014002240 |
Provider Name | Ronda R. Anaya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811025331 PECOS PAC ID: 5294045522 Enrollment ID: I20211029001799 |
Provider Name | Malgorzata J. Kostrzewa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073180014 PECOS PAC ID: 8628466331 Enrollment ID: I20211029002018 |
Provider Name | Christopher Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730799214 PECOS PAC ID: 7214354190 Enrollment ID: I20211103002828 |
Provider Name | Erin Kathleen Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669957593 PECOS PAC ID: 5294089140 Enrollment ID: I20211118002828 |
Provider Name | Mahogany Ababa Ayele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902120421 PECOS PAC ID: 5294928099 Enrollment ID: I20211123001771 |
Provider Name | Nakiel Horsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881273951 PECOS PAC ID: 5193122315 Enrollment ID: I20211123003096 |
Provider Name | Tamara Renae Cheek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144847328 PECOS PAC ID: 7113337940 Enrollment ID: I20211130001687 |
Provider Name | Valerie Jean Welker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447446117 PECOS PAC ID: 3577651652 Enrollment ID: I20211201002571 |
Provider Name | Leah Cheng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376136374 PECOS PAC ID: 5597173823 Enrollment ID: I20211202000002 |
Provider Name | Louise Usher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851693840 PECOS PAC ID: 4587069729 Enrollment ID: I20211203001375 |
Provider Name | Emily Nicole Bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831747492 PECOS PAC ID: 3971833021 Enrollment ID: I20211203001977 |
Provider Name | Connie A Robledo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932617156 PECOS PAC ID: 0345501664 Enrollment ID: I20211203002426 |
Provider Name | Monica Christine Godwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508402207 PECOS PAC ID: 0648660647 Enrollment ID: I20211207000306 |
Provider Name | Amanda Sue Barker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063170512 PECOS PAC ID: 2769872399 Enrollment ID: I20211214000840 |
Provider Name | Eileen Caoile Virrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861980393 PECOS PAC ID: 8921363839 Enrollment ID: I20220104001517 |
Provider Name | Kaitlin Maureen Phelan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164195053 PECOS PAC ID: 1850796491 Enrollment ID: I20220107000962 |
Provider Name | Edgar Benitez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184391112 PECOS PAC ID: 3375941859 Enrollment ID: I20220114001345 |
Provider Name | Heather L King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164895371 PECOS PAC ID: 3274821525 Enrollment ID: I20220121002420 |
Provider Name | Chiugo Sandra Okonkwo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093300600 PECOS PAC ID: 9335540368 Enrollment ID: I20220208002204 |
Provider Name | Annette A Shepherd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417441130 PECOS PAC ID: 6800130576 Enrollment ID: I20220216002684 |
Provider Name | Jackline W Munene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184396194 PECOS PAC ID: 7214321629 Enrollment ID: I20220301001825 |
Provider Name | Shawna Moyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861088742 PECOS PAC ID: 5294140190 Enrollment ID: I20220404002114 |
Provider Name | Cathleen E Shaffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720587561 PECOS PAC ID: 4880936111 Enrollment ID: I20220407000037 |
Provider Name | Salome M Basebang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346738010 PECOS PAC ID: 7517384738 Enrollment ID: I20220407002448 |
Provider Name | Patricia Hasley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497346928 PECOS PAC ID: 0749695278 Enrollment ID: I20220413002226 |
Provider Name | Paula J Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952757858 PECOS PAC ID: 7719382167 Enrollment ID: I20220415000432 |
Provider Name | Solmaz Mohaddes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538815436 PECOS PAC ID: 0143617084 Enrollment ID: I20220425001094 |
Provider Name | Maribel Munoz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497736193 PECOS PAC ID: 7113024050 Enrollment ID: I20220427000987 |
Provider Name | Lynda Aduba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407393903 PECOS PAC ID: 6507141801 Enrollment ID: I20220428002640 |
Provider Name | Donna Marie Lodge Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154609295 PECOS PAC ID: 4789849670 Enrollment ID: I20220513000226 |
Provider Name | Hannah Gibbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649889932 PECOS PAC ID: 6406272764 Enrollment ID: I20220524001171 |
Provider Name | Adelle Keller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619586195 PECOS PAC ID: 5991122764 Enrollment ID: I20220524002992 |
Provider Name | Sonia M Meza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184189185 PECOS PAC ID: 0941540074 Enrollment ID: I20220624001908 |
Provider Name | Jerryl Mcgowan Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437819513 PECOS PAC ID: 8426438375 Enrollment ID: I20220708002638 |
Provider Name | Georgina Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275090698 PECOS PAC ID: 8325379241 Enrollment ID: I20220721002016 |
Provider Name | Linda M Leiser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801362140 PECOS PAC ID: 9234461468 Enrollment ID: I20220725002912 |
Provider Name | Lori Brikmanis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821535709 PECOS PAC ID: 7214345784 Enrollment ID: I20220804001876 |
Provider Name | Claudia Claudio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588307102 PECOS PAC ID: 1052798907 Enrollment ID: I20220810003764 |
Provider Name | Sonia Laster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962930826 PECOS PAC ID: 3274802426 Enrollment ID: I20220812000231 |
Provider Name | Jennifer Lynn Sayles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316678352 PECOS PAC ID: 4789068669 Enrollment ID: I20220825003112 |
Provider Name | Jeanette M Steiner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801523279 PECOS PAC ID: 3678957842 Enrollment ID: I20220907002630 |
Provider Name | Enestine Tasong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952642134 PECOS PAC ID: 4183956246 Enrollment ID: I20220908003374 |
Provider Name | Staci Livingston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548999063 PECOS PAC ID: 2860875333 Enrollment ID: I20221018002818 |
Provider Name | Mariana Isabel Pelaez Cardozo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972080141 PECOS PAC ID: 6507275286 Enrollment ID: I20221108001672 |
Provider Name | Deepa Baral |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457917403 PECOS PAC ID: 7315351822 Enrollment ID: I20221118001525 |
Provider Name | Bernetta Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20230116000073 |
Provider Name | Anne Marie Fombu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245828383 PECOS PAC ID: 2769853852 Enrollment ID: I20230127002508 |
Provider Name | Andrietta Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20230223002107 |
Provider Name | Ciara Nichole Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497460679 PECOS PAC ID: 3476919861 Enrollment ID: I20230509001739 |
Provider Name | Leah Stallworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003138314 PECOS PAC ID: 4486034048 Enrollment ID: I20230517003284 |
Provider Name | Natalie Rose Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730880196 PECOS PAC ID: 8224495403 Enrollment ID: I20230602000446 |
Provider Name | May Dee Gemilo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639645674 PECOS PAC ID: 8022475227 Enrollment ID: I20230602001159 |
Provider Name | Ethan Gager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528618121 PECOS PAC ID: 6800228685 Enrollment ID: I20230921002217 |
Provider Name | Lauren Christine Kenny-link |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629852348 PECOS PAC ID: 2365896339 Enrollment ID: I20230925001557 |
Provider Name | Keyonna Porter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891159794 PECOS PAC ID: 1951693068 Enrollment ID: I20230925003690 |
Provider Name | Stephanie Ann Bonner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851078125 PECOS PAC ID: 1951755826 Enrollment ID: I20230926002637 |
Provider Name | Ebony S Penn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477137693 PECOS PAC ID: 7911373428 Enrollment ID: I20231010000764 |
Provider Name | Michelle Michael |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013488816 PECOS PAC ID: 0749676385 Enrollment ID: I20231010000936 |
Provider Name | Sheila Bonner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922307099 PECOS PAC ID: 0244667954 Enrollment ID: I20231010001706 |
Provider Name | Amber Mchenry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295428654 PECOS PAC ID: 8527427046 Enrollment ID: I20231010003732 |
Provider Name | Amador Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225730195 PECOS PAC ID: 1557736972 Enrollment ID: I20231013001733 |
Provider Name | Amber Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861187817 PECOS PAC ID: 4587025986 Enrollment ID: I20231016001283 |
Provider Name | Carmen Snypp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689285017 PECOS PAC ID: 8325494594 Enrollment ID: I20231024002136 |
Provider Name | Kamsey Cubarrubias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639858764 PECOS PAC ID: 7719349869 Enrollment ID: I20231030002284 |
Provider Name | Kellianne Marie Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184403941 PECOS PAC ID: 7416303227 Enrollment ID: I20231031002308 |
Provider Name | Janice Gallegos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609577469 PECOS PAC ID: 0941674345 Enrollment ID: I20231101002373 |
Provider Name | Krystal Mcgrady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588352074 PECOS PAC ID: 7517322928 Enrollment ID: I20231103001018 |
Provider Name | Carrie Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194046979 PECOS PAC ID: 2062646789 Enrollment ID: I20231103001626 |
Provider Name | Todd Wilcock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952913485 PECOS PAC ID: 7810307113 Enrollment ID: I20231112000082 |
Provider Name | Jenna Hage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366172801 PECOS PAC ID: 8426438185 Enrollment ID: I20231115000652 |
Provider Name | Lucinda Rau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326315987 PECOS PAC ID: 6709030414 Enrollment ID: I20231219003848 |
Provider Name | Nachell Escobedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225548886 PECOS PAC ID: 8325306798 Enrollment ID: I20231221001516 |
Provider Name | Lisa Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336793298 PECOS PAC ID: 7719311620 Enrollment ID: I20231222001896 |
Provider Name | Chekita Haley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134870470 PECOS PAC ID: 9335513845 Enrollment ID: I20240104003937 |
Provider Name | Jodi Subcliff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316652621 PECOS PAC ID: 1456725464 Enrollment ID: I20240116002128 |
Provider Name | Debra Ann Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689032377 PECOS PAC ID: 6800248873 Enrollment ID: I20240116002713 |
Provider Name | Mikhail Murashkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811582687 PECOS PAC ID: 6305298928 Enrollment ID: I20240119000992 |
Provider Name | Ozoemenam Vivian Olawuyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760252696 PECOS PAC ID: 5799138046 Enrollment ID: I20240202000740 |
Provider Name | Corretha Ingram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952037731 PECOS PAC ID: 5395100440 Enrollment ID: I20240202001209 |
Provider Name | Kailyn Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225789456 PECOS PAC ID: 4385087626 Enrollment ID: I20240203000247 |
Provider Name | Tirsit Abiy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306526041 PECOS PAC ID: 7719348077 Enrollment ID: I20240205002533 |
Provider Name | Sarah Faith Hubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891564605 PECOS PAC ID: 1052754017 Enrollment ID: I20240206003787 |
Provider Name | Lori Welch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366113979 PECOS PAC ID: 9739579772 Enrollment ID: I20240221001656 |
Provider Name | Teressa Powers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932503612 PECOS PAC ID: 0446536338 Enrollment ID: I20240303000028 |
Provider Name | Amy Turley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750874384 PECOS PAC ID: 3678821915 Enrollment ID: I20240405001027 |
Provider Name | Joyce Hayden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912520040 PECOS PAC ID: 5890116792 Enrollment ID: I20240412002383 |
Provider Name | Dana Marie Oswald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265293658 PECOS PAC ID: 3375982119 Enrollment ID: I20240412003307 |
Provider Name | Jude Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073291258 PECOS PAC ID: 9335503234 Enrollment ID: I20240419002952 |
Provider Name | Ebony K Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922604727 PECOS PAC ID: 4981000619 Enrollment ID: I20240423003527 |
Provider Name | Alexis Jeffreys |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023523222 PECOS PAC ID: 0345615613 Enrollment ID: I20240424003051 |
Provider Name | Mubangu Mandamuna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588333033 PECOS PAC ID: 4183095144 Enrollment ID: I20240430001248 |
Provider Name | Lisa Nannie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417962937 PECOS PAC ID: 9638115322 Enrollment ID: I20240515003157 |
Provider Name | Lauren Sabo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467001214 PECOS PAC ID: 8325378904 Enrollment ID: I20240611001922 |
Pmg Nw Wa Mc Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Bothell Everett Hwy, Suite 120, Everett, WA 98208 Phone: 425-316-5150 Fax: 425-225-1006 | |
Western Wa Medical Group, Inc. Dept Of Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt Ave Ste A, Everett, WA 98203 Phone: 425-259-3122 Fax: 425-252-9860 | |
Vera Whole Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4933 Evergreen Way, Everett, WA 98203 Phone: 425-903-3070 Fax: 425-953-5768 | |
Community Health Center Of Snohomish County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 | |
Fqhc Enhancement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5929 Evergreen Way, Everett, WA 98203 Phone: 425-789-3700 Fax: 425-789-3754 | |
Molina Medical Group Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Suite 200, Everett, WA 98201 Phone: 425-249-4922 Fax: 877-860-2284 | |
Kidney And Arthritis Clinic P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3218 Nassau St, Everett, WA 98201 Phone: 425-259-9225 Fax: 425-339-3381 |