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NPI Code Detail

MEDICARE: VANESSA NOREEN MOHRBACHER FNP

MEDICARE:   VANESSA NOREEN MOHRBACHER  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 Practitioner202006356NPOR

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 : 1578189601
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA NOREEN MOHRBACHER FNP
Provider Business Mailing Address
First Line : 150 S WALL ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-3233
Country : US
Telephone Number : 541-435-7200
Fax Number : 541-888-0025
Provider Business Practice Location Address
First Line : 150 S WALL ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-3233
Country : US
Telephone Number : 541-435-7200
Fax Number : 541-888-0025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2020
Last Update Date : 03/11/2026

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