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NPI Code Detail

MEDICARE: MRS. NANCY L SEMICH PNP

MEDICARE:  MRS. NANCY L SEMICH  PNP
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
1363LP0200XPediatric Nurse Practitioner087006362OR
2363LP0200XPediatric Nurse Practitioner087006362RNOR

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 : 1386620763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY L SEMICH PNP
Provider Business Mailing Address
First Line : 2200 NE PROFESSIONAL CT
Second Line :
City : BEND
State : OR
Zip : 97701
Country : US
Telephone Number : 541-389-6313
Fax Number : 541-389-8760
Provider Business Practice Location Address
First Line : 2200 NE PROFESSIONAL CT
Second Line :
City : BEND
State : OR
Zip : 97701-6063
Country : US
Telephone Number : 541-389-6313
Fax Number : 541-389-8760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 04/08/2009

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Directions to “ MRS. NANCY L SEMICH PNP” Practice Location

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