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NPI Code Detail

MEDICARE: MS. ELIZABETH ANN PISCHEL CNM

MEDICARE: MS. ELIZABETH ANN PISCHEL CNM
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
1367A00000XAdvanced Practice Midwife085085574N5NMNP-PPOR

General Provider Information

NPI Number : 1710087333
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ANN PISCHEL CNM
Provider Business Mailing Address
First Line : 140 S HOLLY ST
Second Line : GREENTREE
City : MEDFORD
State : OR
Zip : 97501-3113
Country : US
Telephone Number : 541-774-8044
Fax Number : 541-774-7977
Provider Business Practice Location Address
First Line : 140 S HOLLY ST
Second Line : GREENTREE
City : MEDFORD
State : OR
Zip : 97501-3113
Country : US
Telephone Number : 541-774-8044
Fax Number : 541-774-7977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 04/21/2016

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