| Kimberly Amelia Rutland, WHNP | |
|
810 Sixth Ave, Sandpoint, ID 83864-5396 | |
| (208) 265-6252 | |
| (208) 265-8214 |
| Full Name | Kimberly Amelia Rutland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Obstetrics & Gynecology |
| Location | 810 Sixth Ave, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073174199 | NPI | - | NPPES |
| 2171876 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 78336 (Idaho) | Primary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | AP61044089 (Washington) | Secondary |
| Entity Name | Pend Oreille County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Amelia Rutland, WHNP 810 Sixth Ave, Sandpoint, ID 83864-5396 Ph: (208) 265-6252 | Kimberly Amelia Rutland, WHNP 810 Sixth Ave, Sandpoint, ID 83864-5396 Ph: (208) 265-6252 |
Ms. Ann L Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Erin Bass, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Tammy Lynn Undiemi, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-263-3410 Fax: 208-255-4842 | |
Natasha M Splaine-talbott, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 203, Sandpoint, ID 83864 Phone: 304-276-9937 | |
Denise White, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 203, Sandpoint, ID 83864 Phone: 208-265-1046 Fax: 208-265-3756 | |
Anna Mena-schaures, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864 Phone: 208-597-7910 |