Individual
MS. PETRINA E GAVRILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
1125 SE WASHINGTON ST., PULLMAN, WA 99164
(509) 335-3575
(509) 335-6223
Mailing address
PO BOX 642302, PULLMAN, WA 99164-2302
(509) 335-3575
(509) 335-6223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60410653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700958493
—
WA
01
—
G8969934
WVH PTAN
WA
01
—
G8969935
WVH PTAN
WA
Enumeration date
11/15/2006
Last updated
01/16/2019
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