MEDICARE: ARIANNA NICOLE DICKMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.RN.61383001	WA

General Provider Information

NPI Number	:	1518896117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA NICOLE DICKMAN

Provider Business Mailing Address
First Line	:	1402 S GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-5001
Country	:	US
Telephone Number	:	509-455-8220
Fax Number	:	509-455-8220

Provider Business Practice Location Address
First Line	:	1402 S GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-5001
Country	:	US
Telephone Number	:	509-455-8220
Fax Number	:	509-455-8220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ ARIANNA NICOLE DICKMAN ” Practice Location

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