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General NPI Number Information
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NPI Number | 1649755711
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Entity Type | Individual
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Provider Name | MARIAH SCHREVEN ARNP, RN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 7902 E WOODLAND PARK DR
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City | SPOKANE
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State | WA
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Zip | 99212-3512
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Country | US
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Telephone | 509-724-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 7902 E WOODLAND PARK DR
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City | SPOKANE
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State | WA
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Zip | 99212-3512
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Country | US
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Telephone | 509-724-0148
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN60402193
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60901520
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License Number State | WA
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