| Nicole Kraker, ARNP | |
|
10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 | |
| (888) 227-3312 | |
| Not Available |
| Full Name | Nicole Kraker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 10200 Mukilteo Speedway, Mukilteo, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285176024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 21895 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | AP60849369 (Washington) | Primary |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kraker, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: (866) 747-2455 | Nicole Kraker, ARNP 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 Ph: (888) 227-3312 |
Jane A Jacobson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10200 Mukilteo Speedway, Mukilteo, WA 98275 Phone: 425-525-6325 | |
Shih-yu Chou, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6018 | |
Jeanne M Bourget, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-388-6004 | |
Lynette M Wachholz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-388-6002 | |
Ji-young Kim, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6030 | |
Nicole Cabardo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4686 Pointes Dr, Mukilteo, WA 98275 Phone: 425-405-8089 |