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Elizabeth L Pethtel, FNP
Community Health Nurse Practitioner in Medford, Oregon
NPI 1043386717

Elizabeth L Pethtel is a Community Health Nurse Practitioner based in Medford, OR and is specialized in Community Health. Elizabeth L Pethtel practices in Medford, OR and has the professional credentials of FNP. The NPI Number for Elizabeth L Pethtel is 1043386717 and holds a License No. O85072196 (Oregon).

The current practice location address for Elizabeth L Pethtel is 3170 State St, Medford, OR and can be reached out via phone at 541-864-8900 and via fax at 541-245-3315.

Location: 3170 State St, Medford, OR, 97504-8450
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Provider Profile Details
NPI Number
1043386717
Provider Name
Elizabeth L Pethtel
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3170 State St, Medford, OR, 97504-8450
Phone Number
541-864-8900
Fax Number
541-245-3315
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112651 05 OR
NP (36) 01 OR DMAP
institution
Provider Business Practice Location Address Details
Address
3170 State St
City
State
Zip
97504-8450
Phone Number
541-864-8900
Fax Number
541-245-3315
person
Provider Business Mailing Address Details
Address
3170 State St
City
State
Zip
97504-8450
Phone Number
541-864-8900
Fax Number
541-245-3315
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
085072196N1 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
O85072196 (Oregon)
Definition
Definition to come...
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