Dr Kaydee Diana Carroll, FNP | |
212 E Central Ave Ste 240, Spokane, WA 99208-6597 | |
(509) 455-8820 | |
(509) 838-4978 |
Full Name | Dr Kaydee Diana Carroll |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 212 E Central Ave Ste 240, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255913133 | NPI | - | NPPES |
092061 | Medicaid | AZ |
Entity Name | Momdoc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
Mailing Address | Practice Location Address |
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Dr Kaydee Diana Carroll, FNP Po Box 31001-4114, Pasadena, CA 91110-0001 Ph: (866) 747-2455 | Dr Kaydee Diana Carroll, FNP 212 E Central Ave Ste 240, Spokane, WA 99208-6597 Ph: (509) 455-8820 |
Katie L Gomez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-1420 | |
Kristin Walters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 450, Spokane, WA 99204 Phone: 509-455-8820 | |
Anna Denton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W 2nd Ave, Spokane, WA 99201 Phone: 509-444-8200 Fax: 509-434-0392 | |
Michael Colver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806 | |
Heidi A Weitzel, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 | |
Diane C Beernink, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5921 M Market St, Spokane, WA 99208 Phone: 509-487-1604 Fax: 509-482-6286 | |
Allan D Sanders, MN ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |