Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Community Wellness Clinic LLC

Organization Family Nurse Practitioner · NPI 1063056497

A Community Wellness Clinic LLC is a Family Nurse Practitioner in Spokane, Washington. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2405 E 17th Ave Ste 113
Spokane, WA 99223-5122
Phone: (509) 720-8516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1063056497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Traugott — Owner · (509) 720-8516
NPI enumeratedOctober 29, 2019
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address2405 E 17th Ave Ste 113, Spokane, WA 99223-5122

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