Healthcare Provider Details

I. General information

NPI: 1518896117
Provider Name (Legal Business Name): ARIANNA NICOLE DICKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S GRAND BLVD
SPOKANE WA
99203-5001
US

IV. Provider business mailing address

1402 S GRAND BLVD
SPOKANE WA
99203-5001
US

V. Phone/Fax

Practice location:
  • Phone: 509-455-8220
  • Fax: 509-455-8220
Mailing address:
  • Phone: 509-455-8220
  • Fax: 509-455-8220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.RN.61383001
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: