Healthcare Provider Details

I. General information

NPI: 1023671013
Provider Name (Legal Business Name): NEAL ANDREW PICKERING ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13424 E MISSION AVE STE A
SPOKANE VALLEY WA
99216-2759
US

IV. Provider business mailing address

800 W 5TH AVE
SPOKANE WA
99204-2803
US

V. Phone/Fax

Practice location:
  • Phone: 855-229-8012
  • Fax: 509-462-2275
Mailing address:
  • Phone: 509-838-2531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60933174
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: