Susan M. Mix FNP

NPI 1467647115 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1467647115
Gender Female
Enumeration Date 09/06/2007
Last Updated 09/26/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
760 GOLF VIEW DRIVE
SUITE #200
MEDFORD OR, 97504, US
Phone (541) 618-4400
Fax (541) 618-4406
Business Location
760 GOLF VIEW DRIVE
SUITE #200
MEDFORD OR, 97504, US
Phone (541) 618-4400
Fax (541) 618-4406
Toxanomy
Taxonomy Code 363LF0000X
License State Oregon
License Number 200750116NP
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According to our database, Susan M. Mix FNP NPI is 1467647115, taxonomy code is 363LF0000X and license number is 200750116NP, license state is located at Oregon. Susan M. Mix FNP physically located at 760 Golf View Drive, Medford OR, 97504. NPI Number Susan M. Mix FNP has the Individual type.

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1467647115 NPI number is provided on an as is basis without warranty of any kind. 1467647115 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M. Mix FNP are for informational purposes only.