MEDICARE: FREE 2 ACHIEVE PLLC

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	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760236665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREE 2 ACHIEVE PLLC

Provider Business Mailing Address
First Line	:	7902 E WOODLAND PARK DR
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99212-3512
Country	:	US
Telephone Number	:	509-724-0148
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 S LINCOLN ST
Second Line	:	STE 150
City	:	SPOKANE
State	:	WA
Zip	:	99201-4443
Country	:	US
Telephone Number	:	509-724-0148
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER, PROVIDER
Name	:	MARIAH B SCHREVEN
Credential	:	ARNP
Telephone Number	:	509-724-0148

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	08/19/2024

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