IndividualActive
Jeremy Mullavey, ARNP
NPI 1245076553 · Critical Care Medicine Nurse Practitioner · Spokane, WA
Provider details
- NPI number
- 1245076553
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- License
- AP61577243 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
62 W 7th Ave Ste 110
Spokane, WA 99204-2321
Phone: (509) 456-0262
Approximate (ZIP-level) locationGet directions
Mailing address
4308 E 41st Ave
Spokane, WA 99223-1279
Additional practice locations (1)
- 101 W 8th AveSpokane, WA 99204-2307Phone: (509) 474-3000
Registry dates
- Enumerated
- 2024-07-05
- Last updated
- 2024-07-05
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.