institution
Judith A King Mn Fnp Pc
Family Nurse Practitioner in Grants Pass, Oregon
NPI 1154621613

Judith A King Mn Fnp Pc is a Family Nurse Practitioner based in Grants Pass, OR and is specialized in Family. Judith A King Mn Fnp Pc practices in Grants Pass, OR. The NPI Number for Judith A King Mn Fnp Pc is 1154621613 and holds a License No. 000037306N1 (Oregon).

The current practice location address for Judith A King Mn Fnp Pc is 124 Nw Midland Ave, Grants Pass, OR and can be reached out via phone at 541-474-5665 and via fax at 541-474-4435.

Location: 124 Nw Midland Ave, Grants Pass, OR, 97526-1269
institution
Provider Profile Details
NPI Number
1154621613
Provider Name
Judith A King Mn Fnp Pc
Credential
Provider Entity Type
Organization
Address
124 Nw Midland Ave, Grants Pass, OR, 97526-1269
Phone Number
541-474-5665
Fax Number
541-474-4435
Provider Enumeration Date
10/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
900109622 01 OR MEDICARE RR
108613 01 OR MEDICARE ID-TYPE UNSPECIFIED
R108613 01 MEDICARE
074450 05 OR
institution
Provider Business Practice Location Address Details
Address
124 Nw Midland Ave
City
State
Zip
97526-1269
Phone Number
541-474-5665
Fax Number
541-474-4435
person
Provider Business Mailing Address Details
Address
124 Nw Midland Ave
City
State
Zip
97526-1269
Phone Number
541-474-5665
Fax Number
541-474-4435
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
000037306N1 (Oregon)
Definition
Definition to come...
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