Provider Demographics
NPI:1730177841
Name:WOS ELLEDGE, BARBARA A (ARNP FNP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:WOS ELLEDGE
Suffix:
Gender:F
Credentials:ARNP FNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:WOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP FNP
Mailing Address - Street 1:104 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4880
Mailing Address - Country:US
Mailing Address - Phone:509-474-2072
Mailing Address - Fax:509-474-6606
Practice Address - Street 1:1200 E COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-3354
Practice Address - Country:US
Practice Address - Phone:509-684-3701
Practice Address - Fax:509-684-5817
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000123363LF0000X
WARN00065779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily