| Lake Cavanaugh Wellness | |
|
35206 Phipps Dr Mount Vernon WA 98274-8223 | |
| (360) 224-3222 | |
| Not Available |
| Full Name | Lake Cavanaugh Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 35206 Phipps Dr, Mount Vernon, Washington |
| Authorized Official Name and Position | Sarah Schulke (NP) |
| Authorized Official Contact | 3602243222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Cavanaugh Wellness 35206 Phipps Dr Mount Vernon WA 98274-8223 Ph: (360) 224-3222 | Lake Cavanaugh Wellness 35206 Phipps Dr Mount Vernon WA 98274-8223 Ph: (360) 224-3222 |
| NPI Number | 1174483937 |
|---|---|
| Provider Enumeration Date | 11/14/2025 |
| Last Update Date | 11/14/2025 |
| Certification Date | 11/14/2025 |
| Medicare PECOS PAC ID | 7214423888 |
|---|---|
| Medicare Enrollment ID | O20260102002702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174483937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Sarah Schulke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811712425 PECOS PAC ID: 8123514791 Enrollment ID: I20260102003022 |
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