Healthcare Provider Details

I. General information

NPI: 1730143280
Provider Name (Legal Business Name): TERESA M OGDEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA M BRIGGS NP

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12410 E SINTO AVE STE B
SPOKANE VALLEY WA
99216-2280
US

IV. Provider business mailing address

PO BOX 3649
SPOKANE WA
99220-3649
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-2531
  • Fax: 509-755-6580
Mailing address:
  • Phone: 509-838-2531
  • Fax: 509-755-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007293
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: