MEDICARE: JEANETTE M DRESSEL N.P.

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	174400000X	Specialist	7446	TN
2	363LF0000X	Family Nurse Practitioner	ARNP 9299039	FL
3	363L00000X	Nurse Practitioner	N361113619	WA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942265574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTE M DRESSEL N.P.

Provider Business Mailing Address
First Line	:	309 E FARWELL RD
Second Line	:	STE 100
City	:	SPOKANE
State	:	WA
Zip	:	99218-8205
Country	:	US
Telephone Number	:	334-793-9564
Fax Number	:	334-671-8907

Provider Business Practice Location Address
First Line	:	605 E HOLLAND AVE STE 100
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1246
Country	:	US
Telephone Number	:	509-228-1000
Fax Number	:	509-252-9300

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	02/23/2022

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Directions to “ JEANETTE M DRESSEL N.P.” Practice Location

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