Unknown Individual – Family Nurse Practitioner, NPI 1124002472
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
550, Eagle Nest Court, Suffolk County, New York, 11948, United States
EAGLE POINT, OR 975240550
Phone: (541) 830-0333
Fax: (541) 830-0863
Type: Mailing
275, Loto Street, Eagle Point, Jackson County, Oregon, 97524, United States
EAGLE POINT, OR 975249517
Phone: (541) 830-0333
Fax: (541) 830-0863
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97524)
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