person
Amanda K Elsome, AGACNP
Gerontology Nurse Practitioner in Medford, Oregon
NPI 1346854759

Amanda K Elsome is a Gerontology Nurse Practitioner based in Portland, OR and is specialized in Gerontology. Amanda K Elsome practices in Medford, OR and has the professional credentials of AGACNP. The NPI Number for Amanda K Elsome is 1346854759 and holds a License No. 2103 (Oregon).

The current practice location address for Amanda K Elsome is 1111 Crater Lake Ave, Medford, OR and can be reached out via phone at 541-732-5545.

Location: 1111 Crater Lake Ave, Medford, OR, 97208-3158
person
Provider Profile Details
NPI Number
1346854759
Provider Name
Amanda K Elsome
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
1111 Crater Lake Ave, Medford, OR, 97208-3158
Phone Number
541-732-5545
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 Crater Lake Ave
City
State
Zip
97504-6241
Phone Number
541-732-5545
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Crater Lake Ave
City
State
Zip
97504-6241
Phone Number
541-732-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
10003863 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2103 (Nebraska)
Definition
Definition to come...
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