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NPI Code Detail

MEDICARE: CHRISTY M RUMMEL FNP

MEDICARE: CHRISTY M RUMMEL FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner200750145NPOR

General Provider Information

NPI Number : 1023292570
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY M RUMMEL FNP
Provider Business Mailing Address
First Line : 1760 SW 3RD ST
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1725
Country : US
Telephone Number : 541-207-3773
Fax Number : 800-549-1017
Provider Business Practice Location Address
First Line : 1760 SW 3RD ST
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1725
Country : US
Telephone Number : 541-207-3773
Fax Number : 800-549-1017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2007
Last Update Date : 09/26/2014

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