Elizabeth L Pethtel FNP

NPI 1043386717 - Nurse Practitioner - 363LC1500X

NPI Details
NPI 1043386717
Gender Female
Enumeration Date 11/27/2006
Last Updated 12/28/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3170 STATE ST
MEDFORD OR, 97504-8450, US
Phone (541) 864-8900
Fax (541) 245-3315
Business Location
3170 STATE ST
MEDFORD OR, 97504-8450, US
Phone (541) 864-8900
Fax (541) 245-3315
Toxanomy
Taxonomy Code 363LC1500X
License State Oregon
License Number 085072196N1
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According to our database, Elizabeth L Pethtel FNP NPI is 1043386717, taxonomy code is 363LC1500X and license number is 085072196N1, license state is located at Oregon. Elizabeth L Pethtel FNP physically located at 3170 State St, Medford OR, 97504-8450. NPI Number Elizabeth L Pethtel FNP has the Individual type.

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1043386717 NPI number is provided on an as is basis without warranty of any kind. 1043386717 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth L Pethtel FNP are for informational purposes only.