DUSAN DORDEVIC ARNP NPI 1477364636

NPI Information

  • NPI: 1477364636
  • Provider Name: DUSAN DORDEVIC, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 220 E ROWAN AVE STE 300
    SPOKANE, WA
    ZIP 99207
  • Phone: (509) 489-3554

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NPI Details

Dusan Dordevic, ARNP is a family nurse practitioner in Spokane, WA with 2 years of experience. Dusan Dordevic, ARNP NPI is 1477364636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2024

The provider's business location address is:

220 E ROWAN AVE STE 300
SPOKANE, WA
ZIP 99207-203
Phone: (509) 489-3554
Fax: (509) 489-3558

The NPI 1477364636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2025 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP61654357WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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