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NPI Code Detail

MEDICARE: MS. ELIZABETH J KOESTERMAN ARNP

MEDICARE: MS. ELIZABETH J KOESTERMAN ARNP
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
1281P00000XChronic Disease HospitalAP30001150WA

General Provider Information

NPI Number : 1710098603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH J KOESTERMAN ARNP
Provider Business Mailing Address
First Line : 3114 W CLEVELAND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-3911
Country : US
Telephone Number : 509-434-7687
Fax Number :
Provider Business Practice Location Address
First Line : 4815 N ASSEMBLY ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6185
Country : US
Telephone Number : 509-434-7687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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