| Doctor Of Nursing Practice Primary Care Llc | |
|
3904 E Mullan Ave Ste C Post Falls ID 83854-4009 | |
| (208) 786-0569 | |
| Not Available |
| Full Name | Doctor Of Nursing Practice Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3904 E Mullan Ave Ste C, Post Falls, Idaho |
| Authorized Official Name and Position | Andrea L Garey (MANAGER) |
| Authorized Official Contact | 2087860569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Of Nursing Practice Primary Care Llc 1869 E Seltice Way # 365 Post Falls ID 83854-7019 Ph: (208) 786-0569 | Doctor Of Nursing Practice Primary Care Llc 3904 E Mullan Ave Ste C Post Falls ID 83854-4009 Ph: (208) 786-0569 |
| NPI Number | 1811725088 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 4486195690 |
|---|---|
| Medicare Enrollment ID | O20240916000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811725088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Andrea Lynn Garey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952063802 PECOS PAC ID: 1052709060 Enrollment ID: I20211025001841 |
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