Ms Elis Mabel Fernandez Payne, WHNP-BC | |
450 Alaskan Way S Ste 200, Seattle, WA 98104-2785 | |
(888) 731-8994 | |
Not Available |
Full Name | Ms Elis Mabel Fernandez Payne |
---|---|
Gender | Female |
Speciality | Registered Nurse - Women's Health Care, Ambulatory |
Location | 450 Alaskan Way S Ste 200, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720392459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 0001129600 (Virginia) | Primary |
Entity Name | Puyallup Tribal Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063455665 PECOS PAC ID: 9436047537 Enrollment ID: O20040309001482 |
Mailing Address | Practice Location Address |
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Ms Elis Mabel Fernandez Payne, WHNP-BC 450 Alaskan Way S Ste 200, Seattle, WA 98104-2785 Ph: (888) 731-8994 | Ms Elis Mabel Fernandez Payne, WHNP-BC 450 Alaskan Way S Ste 200, Seattle, WA 98104-2785 Ph: (888) 731-8994 |
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