NPI 1366699985 DIANA JAYE WAMBAUGH NURSE PRACTITIONER WARM SPRINGS OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Diana Jaye Wambaugh - NPI: 1366699985

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DIANA JAYE WAMBAUGH
NPI Number: 1366699985
Entity Type Code: Individual (1)
Gender: F
Credentials: NURSE PRACTITIONER
License Number: NP 370A
Business Practice Address: 1270 Kot-num Rd
Warm Springs, OR - 977611209
Business Phone Number: 2083361836
Business Fax Number:
Mailing Address: Po Box 1209,
WARM SPRINGS
State: OR
Postal Code: 977611209
Phone Number: 2083361836
Fax Number:
NPI Enumeration Date: 08/26/2008
NPI Last Update Date: 12/28/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: NP 370A
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ID
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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