| Internal Medicine Consultants Nw Ps | |
|
456 Klickitat Dr La Conner WA 98257-9517 | |
| (360) 466-9223 | |
| Not Available |
| Full Name | Internal Medicine Consultants Nw Ps |
|---|---|
| Speciality | Internal Medicine |
| Location | 456 Klickitat Dr, La Conner, Washington |
| Authorized Official Name and Position | Nancy Llewellyn (OWNER) |
| Authorized Official Contact | 3604669223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Consultants Nw Ps Po Box 190 La Conner WA 98257-0190 Ph: () - | Internal Medicine Consultants Nw Ps 456 Klickitat Dr La Conner WA 98257-9517 Ph: (360) 466-9223 |
| NPI Number | 1497022370 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 1355508359 |
|---|---|
| Medicare Enrollment ID | O20120202000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497022370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy H Llewellyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760576474 PECOS PAC ID: 7517859176 Enrollment ID: I20060505000061 |
| Provider Name | Diana I Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023413358 PECOS PAC ID: 4385967629 Enrollment ID: I20141218000026 |
| Provider Name | Dawn Darroch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285035105 PECOS PAC ID: 7517281991 Enrollment ID: I20150112001879 |
| Provider Name | Jennifer S Gruenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306216908 PECOS PAC ID: 9335449065 Enrollment ID: I20151201002313 |
| Provider Name | Sherry Love-wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144769191 PECOS PAC ID: 6800171026 Enrollment ID: I20170329002896 |
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