| Mrs Desaree Wancho, APRN | |
|
222 E 2nd St, Grandview, WA 98930-1342 | |
| (509) 203-6501 | |
| Not Available |
| Full Name | Mrs Desaree Wancho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 222 E 2nd St, Grandview, 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 |
|---|---|---|---|
| 1629544697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61517837 (Washington) | Primary |
| 163W00000X | Registered Nurse | RN60224977 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunnyside Community Hospital Association | 1658280896 | 55 |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Desaree Wancho, APRN Po Box 719, Sunnyside, WA 98944-0719 Ph: (509) 837-1617 | Mrs Desaree Wancho, APRN 222 E 2nd St, Grandview, WA 98930-1342 Ph: (509) 203-6501 |
Sandra Bravo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-439-1064 | |
Careeta-jenee Anique Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 N Euclid St, Grandview, WA 98930 Phone: 678-522-1504 | |
Erica Garza, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Wallace Way, Grandview, WA 98930 Phone: 509-203-1080 Fax: 509-203-1077 | |
Sara Jerene Champoux Mcdonald, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 N Euclid Rd, Grandview, WA 98930 Phone: 509-882-1855 | |
Stephanie Gibbons, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1907 W 2nd St, Grandview, WA 98930 Phone: 801-913-7271 | |
Ms. Susan Lowry Babcock, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-453-2363 |