Prevention Nw | |
17110 E Daybreak Ln Spokane Valley WA 99016-8767 | |
(509) 475-1347 | |
Not Available |
Full Name | Prevention Nw |
---|---|
Speciality | Clinic/Center |
Location | 17110 E Daybreak Ln, Spokane Valley, Washington |
Authorized Official Name and Position | Jill Harvey (OWNER/PHARMACIST) |
Authorized Official Contact | 5094751347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prevention Nw 17110 E Daybreak Ln Spokane Valley WA 99016-8767 Ph: (509) 475-1347 | Prevention Nw 17110 E Daybreak Ln Spokane Valley WA 99016-8767 Ph: (509) 475-1347 |
NPI Number | 1629666029 |
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Provider Enumeration Date | 01/02/2021 |
Last Update Date | 02/06/2023 |
Medicare PECOS PAC ID | 0143633305 |
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Medicare Enrollment ID | O20230222000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629666029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael Dewayne Cronquist |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578806097 PECOS PAC ID: 3678814746 Enrollment ID: I20190418001171 |
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