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1305 Fowler St Ste 1b, Richland, WA 99352-4719 | |
(509) 585-6318 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 1305 Fowler St Ste 1b, Richland, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992105613 | NPI | - | NPPES |
Provider Name | Aaron N Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760425466 PECOS PAC ID: 9335161991 Enrollment ID: I20051222000554 |
Provider Name | John J Fontana |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1962642751 PECOS PAC ID: 4587712310 Enrollment ID: I20090504000566 |
Provider Name | Sarena Sloot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083058762 PECOS PAC ID: 5698917466 Enrollment ID: I20130806000962 |
Provider Name | Todd R Garrett |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942442306 PECOS PAC ID: 4688727969 Enrollment ID: I20140508000834 |
Provider Name | Gabriel U Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659751279 PECOS PAC ID: 8426353558 Enrollment ID: I20160226000875 |
Provider Name | Cijiana Simmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700360328 PECOS PAC ID: 0345585683 Enrollment ID: I20181214001668 |
Mailing Address | Practice Location Address |
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1305 Fowler St Ste 1b, Richland, WA 99352-4719 Ph: (509) 585-6318 | 1305 Fowler St Ste 1b, Richland, WA 99352-4719 Ph: (509) 585-6318 |