Kathleen A Puderbaugh (NPI# 1366433864, PAC ID# 0446412175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366433864 |
| PAC ID by PECOS | 0446412175 |
| Professional Enrollment ID | I20120425000700 |
| Full Name | Kathleen A Puderbaugh |
| Organization Legal Name | NOOKSACK CENTRAL MANAGEMENT SYSTEM |
| Address |
2510 Sulwhanon Dr Everson WA 98247-8766 |
| Phone Number | 3609662106 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971651530 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2510 Sulwhanon Dr, Everson, WA 98247-8766 | 3609662106 | NOOKSACK CENTRAL MANAGEMENT SYSTEM |
| Organization Legal Name | NOOKSACK CENTRAL MANAGEMENT SYSTEM |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evelyn K Oxenford | Nurse Practitioner | Nooksack Central Management System | 6760 Mission Rd, Everson, WA 98247-9749 |
| Sara L Sheaffer | Family Medicine | Nooksack Central Management System | 2510 Sulwhanon Dr, Everson, WA 98247-8766 |
| Ursula Grayce Hein | Nurse Practitioner | Nooksack Central Management System | 2510 Sulwhanon Dr, Everson, WA 98247-8766 |
| Marlene Bishop | Nurse Practitioner | Nooksack Central Management System | 2510 Sulwhanon Dr, Everson, WA 98247-8766 |
| Street Address |
2510 SULWHANON DR |
| City | EVERSON |
| State | WA |
| Zip | 98247-8766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara L Sheaffer | Family Medicine | Nooksack Central Management System | 2510 Sulwhanon Dr, Everson, WA 98247-8766 |
| Ursula Grayce Hein | Nurse Practitioner | Nooksack Central Management System | 2510 Sulwhanon Dr, Everson, WA 98247-8766 |
| Marlene Bishop | Nurse Practitioner | Nooksack Central Management System | 2510 Sulwhanon Dr, Everson, WA 98247-8766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian E Aasby | Physical Therapy | 102 W Main St, Suite 103, Everson, WA 98247-8250 | |
| Alex W Ilyin | Optometry | 205 W Main St, Everson, WA 98247-8256 | |
| Raymond A Bedlington | Chiropractic | 211 E Main St, Everson, WA 98247-8256 | |
| Scott R Elliott | Chiropractic | 111 E Main St, Everson, WA 98247-9139 | |
| Robert E Watson | Psychiatry | 6715 Lunde Rd, Everson, WA 98247-9635 | |
| Jonathan W Grymaloski | Family Medicine | Sea-mar Community Health Center | 6884 Hannegan Rd, Everson, WA 98247-9637 |
| Evelyn K Oxenford | Nurse Practitioner | Nooksack Central Management System | 6760 Mission Rd, Everson, WA 98247-9749 |
| City | EVERSON |
| Zip Code | 98247 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EVERSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen A Puderbaugh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.