MS. PETRINA E GAVRILIS (NPI# 1700958493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700958493 |
| Entity Type | Individual |
| Full Name | MS. PETRINA E GAVRILIS |
| Credential | RN, ARNP |
| Practice Address |
1125 Se Washington St. Pullman WA 99164 |
| Mailing Address |
Po Box 642302 Pullman WA 99164-2302 |
| Practice Telephone | 5093353575 |
| Practice Fax Number | 5093356223 |
| Mailing Telephone | 5093353575 |
| Mailing Fax Number | 5093356223 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60410653 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1700958493 | 05 | |
| WA | WVH PTAN | G8969934 | 01 |
| WA | WVH PTAN | G8969935 | 01 |
| Street Address |
1125 SE WASHINGTON ST. |
| City | PULLMAN |
| State | WA |
| Zip Code | 99164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467408815 | William Thomas Gibson | Psychologist | 1125 Se Washington St., Pullman, WA 99111 | 2006-05-26 |
| 1235490038 | Blake Cooper Corcoran | Family Medicine | 1125 Se Washington St., Pullman, WA 99164 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837494 | Andrew Mutnan | Specialist/Technologist | 1547 Ne Colorado Street, Pullman, WA 99164 | 2017-05-03 |
| 1861866535 | Washington State University | Psychologist | 305 Ne Troy Mall, Pullman, WA 99164 | 2015-11-18 |
| 1174944169 | Cassie Marie Hodgin | Specialist/Technologist | 1455 Colorado St, Bohler Athletic Complex M4, Pullman, WA 99164 | 2013-12-18 |
| 1629364062 | Brenda Kay Deal Bye | Psychiatry & Neurology | Washington State University 1125 Se Washington St, Pullman, WA 99164 | 2011-06-23 |
| 1750914339 | Kalee Kennedy | Specialist/Technologist | Washington State University, 160 Cleveland Hall 1155 College Ave, Pullman, WA 99164 | 2020-02-21 |
| 1942541859 | Abby Myers Howard | Physician Assistant | 1125 Se Washington Street, Po Box 642302, Pullman, WA 99164 | 2013-03-04 |
| 1417261934 | Kyrsten E Stoops | Family Medicine | 1125 Se Washington St, Pullman, WA 99164 | 2010-07-27 |
| 1104071752 | Pam Spens | Nurse Practitioner | 1125 Se Washington St, Pullman, WA 99164 | 2008-11-24 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1154949733 | Washington State University | Clinical Medical Laboratory | Bustad Hall Room 155n, Pullman, WA 99164-0001 | 2020-07-09 |
| Find all providers in zip 99164 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780106237 | Danielle Joy Hamstra | Nurse Practitioner | 2560 Ne Hopkins Ct, Pullman, WA 99163-5622 | 2017-07-16 |
| 1407297278 | Gina Marie Hjorth | Nurse Practitioner | 2440 Ne Hopkins Ct, Sel Health Center, Pullman, WA 99163-5616 | 2013-07-09 |
| 1245268788 | Julie D Waite | Nurse Practitioner | 1205 Se Prof Mall Blvd, Ste 102, Pullman, WA 99163-5423 | 2006-06-30 |
| 1396218491 | Richard L Howell | Nurse Practitioner | 825 Se Bishop Blvd Ste 200, Pullman, WA 99163-5537 | 2019-01-10 |
| 1518279959 | Kristine Ellen Brenc | Nurse Practitioner | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2010-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.