| Laurie Susanne Edinger, FNP | |
|
502 E Amende Dr, Odessa, WA 99159-7003 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | Laurie Susanne Edinger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 502 E Amende Dr, Odessa, 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 |
|---|---|---|---|
| 1720194954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP30007043 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gritman Medical Center | Moscow, ID | Hospital |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Health Physician Group Llc | 0648356543 | 2 |
| Total Health Physician Group Llc | 0648356543 | 2 |
| Entity Name | Lincoln County Public Hospital District 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1073524690 PECOS PAC ID: 1052209152 Enrollment ID: O20041215000890 |
| Entity Name | Total Health Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043492655 PECOS PAC ID: 0648356543 Enrollment ID: O20080408000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Susanne Edinger, FNP 8554 Benewah Creek Rd, St Maries, ID 83861-9367 Ph: (208) 610-6213 | Laurie Susanne Edinger, FNP 502 E Amende Dr, Odessa, WA 99159-7003 Ph: (999) 999-9999 |
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 | |
Daniel Glaze, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Amende Dr, Odessa, WA 99159 Phone: 509-982-2614 |