Marisa Kalie Dieter, ARNP | |
1634 N Meyers Ct, Liberty Lake, WA 99016-5364 | |
(406) 207-5278 | |
Not Available |
Full Name | Marisa Kalie Dieter |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1634 N Meyers Ct, Liberty Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245962232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP61328419 (Washington) | Primary |
Entity Name | Wa Pacs 2 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
Mailing Address | Practice Location Address |
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Marisa Kalie Dieter, ARNP 1634 N Meyers Ct, Liberty Lake, WA 99016-5364 Ph: (406) 207-5278 | Marisa Kalie Dieter, ARNP 1634 N Meyers Ct, Liberty Lake, WA 99016-5364 Ph: (406) 207-5278 |
Mrs. Amy Karen Schaffner, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22820 E Apple Way, Liberty Lake, WA 99019 Phone: 509-473-4900 | |
Lorena Margaret De La Rosa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22820 E Appleway Ave Ste A, Liberty Lake, WA 99019 Phone: 509-220-3048 | |
Jennifer Anne Nakata, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 Phone: 509-399-7275 | |
Ms. Christy Lynn Sutton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1334 N Whitman Ln, Suite 200, Liberty Lake, WA 99019 Phone: 509-688-6700 Fax: 509-688-6724 | |
Karey Kananda, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23403 E Mission Ave Ste 220b, Liberty Lake, WA 99019 Phone: 208-261-2501 Fax: 877-935-2721 | |
Corinne Alyssa Austin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1431 N Liberty Lake Rd, Liberty Lake, WA 99019 Phone: 509-928-6700 |