Active NPIIndividual provider

Marie C Agnew, FNP, DNP

Nurse Practitioner in Bend, Oregon

NPI Number1013296490
Practice location
929 SW Simpson Ave Ste 300, Bend, OR 97702-3599
Fax
541-278-8376
Last updated
December 28, 2018

Marie C Agnew, FNP, DNP is a Nurse Practitioner based in Bend, OR. Marie C Agnew, FNP, DNP holds the professional credentials of FNP, DNP. The NPI number for Marie C Agnew, FNP, DNP is 1013296490 and holds license No. 201250123NP (OR). The current practice location address is 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599 and the office can be reached by phone at 541-389-7741 and by fax at 541-278-8376. The NPI was assigned on August 16, 2011 and the record was last updated in NPPES on December 28, 2018.

●Provider Profile Details

NPI Number
1013296490
Provider Name
Marie Casselberry Agnew
Credential
FNP, DNP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Enumeration Date
August 16, 2011
Last Update Date
December 28, 2018
NPI Status
Active
Other Names
-- Marie Gail Casselberry, FNP (Former Name)

◉Business Practice Location Address

Address
929 SW Simpson Ave Ste 300
Bend, OR 97702-3599
City
Bend
State
Oregon
ZIP
97702-3599
Country
US
Phone Number
541-389-7741
Fax Number
541-278-8376

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✉Business Mailing Address

Address
19075 NW Tanasbourne Dr.
Hillsboro, OR 97214
City
Hillsboro
State
OR
ZIP
97214
Phone Number
503-941-3753

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XNo201250123NPOR
Nurse Practitioner363L00000XYes201250123NPOR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Marie C Agnew, FNP, DNP?

The NPI number of Marie C Agnew, FNP, DNP is 1013296490. It was assigned on August 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Marie C Agnew, FNP, DNP?

Marie C Agnew, FNP, DNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X) and holds license No. 201250123NP (OR).

Where does Marie C Agnew, FNP, DNP practice?

The practice location is 929 SW Simpson Ave Ste 300, Bend, OR 97702-3599. The office can be reached at 541-389-7741 (phone) or 541-278-8376 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013296490 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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