Individual
MARCY RENE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
AP60979503
WA
363L00000X
Nurse Practitioner
Primary
AP60979503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60979503
WASHINGTON STATE DEPARTMENT OF HEALTH
—
Enumeration date
07/24/2019
Last updated
12/17/2020
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