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NPI Code Detail

MEDICARE: DENISE HELMINE DUREN FNP

MEDICARE: DENISE HELMINE DUREN 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 Practitioner087006741N1 FNP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225099336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE HELMINE DUREN FNP
Provider Business Mailing Address
First Line : 2939 WOODLAND PARK RD
Second Line :
City : GRANTS PASS
State : OR
Zip : 97527-7116
Country : US
Telephone Number : 541-476-5536
Fax Number :
Provider Business Practice Location Address
First Line : 3617 S PACIFIC HWY
Second Line :
City : MEDFORD
State : OR
Zip : 97501-8957
Country : US
Telephone Number : 541-535-6239
Fax Number : 541-535-4377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 07/08/2007

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Directions to “ DENISE HELMINE DUREN FNP” Practice Location

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