| Teresa Jo Ekdahl-johnson, ARNP, FNP-C | |
|
2428 W Reynolds Ave, Centralia, WA 98531-4554 | |
| (360) 330-9044 | |
| Not Available |
| Full Name | Teresa Jo Ekdahl-johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2428 W Reynolds Ave, Centralia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386258697 | NPI | - | NPPES |
| AP61095075 | Other | WA ARNP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61095075 (Washington) | Primary |
| Entity Name | Cascade Community Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824 |
| Entity Name | Lewis County Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Jo Ekdahl-johnson, ARNP, FNP-C 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 | Teresa Jo Ekdahl-johnson, ARNP, FNP-C 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 |
Lisa Archer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3687 Cooks Hill Rd, Centralia, WA 98531 Phone: 210-284-2787 | |
Ndeye Anta Sene, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-7966 | |
Beverly Ann Huddleston, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531 Phone: 360-330-8950 Fax: 360-330-8955 | |
Therese Henry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 | |
Mr. Marshall Jonathon Saipher, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 917 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-9384 | |
Jean Clement Nikubwayo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Duane Edward Patterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 Fax: 360-736-3139 |