| Daniel Glaze, ARNP | |
|
510 E Amende Dr, Odessa, WA 99159-7003 | |
| (509) 982-2614 | |
| Not Available |
| Full Name | Daniel Glaze |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 510 E Amende Dr, Odessa, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740891829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61088074 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quinault Indian Nation | 2860836988 | 5 |
| Entity Name | Quinault Indian Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134842636 PECOS PAC ID: 2860836988 Enrollment ID: O20240412001895 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Glaze, ARNP Po Box 190, Odessa, WA 99159-0190 Ph: (509) 982-2614 | Daniel Glaze, ARNP 510 E Amende Dr, Odessa, WA 99159-7003 Ph: (509) 982-2614 |
Violet Frances Rice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 | |
Kerri Ruddell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2611 | |
Deborah A Fogg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 Fax: 509-982-2675 | |
Laurie Susanne Edinger, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 E Amende Dr, Odessa, WA 99159 Phone: 999-999-9999 |