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Ms. Ingrid Large Edstrom, BSNCFNPMED
Family Nurse Practitioner in Eugene, Oregon
NPI 1689630410

Ingrid Large Edstrom is a Family Nurse Practitioner based in Eugene, OR and is specialized in Family. Ingrid Large Edstrom practices in Eugene, OR and has the professional credentials of BSNCFNPMED. The NPI Number for Ingrid Large Edstrom is 1689630410 and holds a License No. 1113222 (Oregon).

The current practice location address for Ingrid Large Edstrom is 315 Goodpasture Island Rd, Eugene, OR and can be reached out via phone at 541-302-2977 and via fax at 541-302-6565. You can also correspond with Ingrid Large Edstrom through the mailing address at 1102 HODSON LN, EUGENE, OR - 97404-2944 (mailing address contact number: 541-302-2977).

Location: 315 Goodpasture Island Rd, Eugene, OR, 97404-2944
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Provider Profile Details
NPI Number
1689630410
Provider Name
Ingrid Large Edstrom
Credential
BSNCFNPMED
Provider Entity Type
Individual
Gender
Female
Address
315 Goodpasture Island Rd, Eugene, OR, 97404-2944
Phone Number
541-302-2977
Fax Number
541-302-6565
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
269858 05 OR
200550045NPPP 01 OR FNP#
NP2194 01 OR BCBS
institution
Provider Business Practice Location Address Details
Address
315 Goodpasture Island Rd
City
State
Zip
97401-2109
Phone Number
541-302-2977
Fax Number
541-302-6565
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Provider Business Mailing Address Details
Address
1102 Hodson Ln
City
State
Zip
97404-2944
Phone Number
541-302-2977
Fax Number
541-302-6565
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1113222 (Massachusetts)
Definition
Definition to come...
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