| Kelly Christine Glidewell, ARNP STUDENT | |
|
1200 E Columbia Ave, Colville, WA 99114-3354 | |
| (509) 684-3701 | |
| (509) 684-5817 |
| Full Name | Kelly Christine Glidewell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1200 E Columbia Ave, Colville, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821444704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60766260 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | AP60766260 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Mount Carmel Hospital | Colville, WA | Hospital |
| Providence St Joseph Hospital | Chewelah, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 727 |
| Colville Medical Center Ps | 6709774086 | 19 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Christine Glidewell, ARNP STUDENT Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Kelly Christine Glidewell, ARNP STUDENT 1200 E Columbia Ave, Colville, WA 99114-3354 Ph: (509) 684-3701 |
Joel A Glidewell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 | |
Launa M Lister, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Garden Homes Dr, Colville, WA 99114 Phone: 509-684-3701 | |
Chelsea Dallman, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286 | |
Mrs. Barbara A Wos Elledge, ARNP FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Diamond Tiea Fern Courville, APRN- FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 143 Garden Homes Dr, Colville, WA 99114 Phone: 509-684-3701 | |
Mrs. Linda M Leiser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 S Main St, Colville, WA 99114 Phone: 509-684-7924 |