Individual
TERESA M OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12410 E SINTO AVE STE B, SPOKANE VALLEY, WA 99216-2280
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010158261
BLUE SHIELD OF IDAHO
—
01
—
0211093
LABOR & INDUSTRIES
—
01
—
7527437
AETNA
—
01
—
7676OG
ASURIS NW HEALTH
—
05
—
807507200
—
ID
05
—
9649401
—
WA
Enumeration date
04/13/2006
Last updated
07/21/2022
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