- Practice location
- 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599
- Phone
- 541-389-7741
- Fax
- 541-278-8376
- Last updated
- December 28, 2018
Marie Casselberry Agnew is a Nurse Practitioner based in Bend, OR. Marie Casselberry Agnew practices in Bend, OR and has the professional credentials of FNP, DNP. The NPI Number for Marie Casselberry Agnew is 1013296490 and holds a License No. 201250123NP (OR). The current practice location address for Marie Casselberry Agnew is 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599 and can be reached out via phone at 541-389-7741 and via fax at 541-278-8376.
Provider Profile Details
- NPI Number
- 1013296490
- Provider Name
- Marie Casselberry Agnew
- Credential
- FNP, DNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599
- Phone Number
- 541-389-7741
- Fax Number
- 541-278-8376
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- -- Marie Gail Casselberry, FNP (Former Name)
- Provider Enumeration Date
- August 16, 2011
- Last Update Date
- December 28, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 929 SW Simpson Ave Ste 300
Bend, OR 97702-3599 - City
- Bend
- State
- Oregon
- Zip
- 97702-3599
- Phone Number
- 541-389-7741
- Fax Number
- 541-278-8376
Provider Business Mailing Address Details
- Address
- 19075 NW Tanasbourne Dr.
Hillsboro, OR 97214 - City
- Hillsboro
- State
- OR
- Zip
- 97214
- Phone Number
- 503-941-3753
License Information
- License Number (1)
- 201250123NP
- License State (1)
- OR
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 201250123NP
- License State (2)
- OR
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marie C Agnew, FNP, DNP?
The NPI number of Marie C Agnew, FNP, DNP is 1013296490. It was assigned on August 16, 2011 and is currently active in the NPPES registry.
What is the specialty of Marie C Agnew, FNP, DNP?
Marie C Agnew, FNP, DNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in OR under license number 201250123NP.
Where does Marie C Agnew, FNP, DNP practice?
The practice location is 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599. The office can be reached at 541-389-7741 (phone) or 541-278-8376 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013296490 directly on the NPPES registry website.