| Kristen M Childress, ARNP | |
|
2431 Anderson Ave, Port Orchard, WA 98366-1302 | |
| (360) 710-3319 | |
| (360) 876-0878 |
| Full Name | Kristen M Childress |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 2431 Anderson Ave, Port Orchard, Washington |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003952870 | NPI | - | NPPES |
| 0225388 | Other | WA | STATE L & I |
| 0258710 | Other | WA | STATE L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN00138087 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP30006700 (Washington) | Primary |
| Entity Name | Manette Clinic A Professional Service Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013383215 PECOS PAC ID: 3779884713 Enrollment ID: O20151217000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen M Childress, ARNP 4810 Point Fosdick Dr Nw, Pmb 27, Gig Harbor, WA 98335-1711 Ph: (360) 710-3319 | Kristen M Childress, ARNP 2431 Anderson Ave, Port Orchard, WA 98366-1302 Ph: (360) 710-3319 |
Dawn Ewing Galvez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 253-201-0490 | |
Mrs. Sarah Michelle Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd Ste 230, Port Orchard, WA 98366 Phone: 360-895-0216 Fax: 360-895-7919 | |
Anthony S Stephens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2031 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-0975 | |
Barbara T Hepfer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Pottery Ave, Oc Med, Port Orchard, WA 98366 Phone: 253-895-5000 | |
Amanda Jo Shelhamer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 | |
Demery Paladichuk, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 614 Division St, Port Orchard, WA 98366 Phone: 360-337-7116 |