Organization
WILD ROSE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH PIERSON ARNP, CNM (PRESIDENT)
(509) 460-4823
Entity
Organization
Contact information
Practice address
711 S AUBURN ST STE P, KENNEWICK, WA 99336-5665
(509) 460-4823
(509) 460-4833
Mailing address
PO BOX 6762, KENNEWICK, WA 99336-0640
(509) 460-4823
(509) 460-4833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30003677
WA
363LW0102X
Women's Health Nurse Practitioner
AP30003677
WA
367A00000X
Advanced Practice Midwife
Primary
AP30003677
WA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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