Unknown Individual – Family Nurse Practitioner, NPI 1104811033
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2614, East 39th Avenue, Southgate, Spokane, Spokane County, Washington, 99223, United States
SPOKANE, WA 992234541
Phone: (509) 993-7192
Type: Mailing
123, West Cascade Way, Town and Country, Spokane County, Washington, 99208, United States
SPOKANE, WA 992086017
Phone: (509) 489-4581
Fax: (509) 482-0717
Type: Location
107 S Division St
Spokane, WA 992021510
Phone: (509) 838-4651
Fax: (509) 363-2762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99223)
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