person
Patricia Diane Widenoja, BSN,MN,FNP
Family Nurse Practitioner in Silver Lake, Oregon
NPI 1235110628

Patricia Diane Widenoja is a Family Nurse Practitioner based in Silver Lake, OR and is specialized in Family. Patricia Diane Widenoja practices in Silver Lake, OR and has the professional credentials of BSN,MN,FNP. The NPI Number for Patricia Diane Widenoja is 1235110628 and holds a License No. 078041667N1 (Oregon).

The current practice location address for Patricia Diane Widenoja is 85955 Raven Ridge Ln, Silver Lake, OR and can be reached out via phone at 541-576-3070 and via fax at 541-576-3070.

Location: 85955 Raven Ridge Ln, Silver Lake, OR, 97638-9627
person
Provider Profile Details
NPI Number
1235110628
Provider Name
Patricia Diane Widenoja
Credential
BSN,MN,FNP
Provider Entity Type
Individual
Gender
Female
Address
85955 Raven Ridge Ln, Silver Lake, OR, 97638-9627
Phone Number
541-576-3070
Fax Number
541-576-3070
Provider Enumeration Date
11/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ANP0170 01 OR WORKERS COMPENSATION
051750 05 OR
institution
Provider Business Practice Location Address Details
Address
85955 Raven Ridge Ln
City
State
Zip
97638-9627
Phone Number
541-576-3070
Fax Number
541-576-3070
person
Provider Business Mailing Address Details
Address
85955 Raven Ridge Ln
City
State
Zip
97638-9627
Phone Number
541-576-3070
Fax Number
541-576-3070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
078041667N1 (Oregon)
Definition
Definition to come...
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