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NPI Code Detail

MEDICARE: MRS. BRENDA SUE HESS FNP-C

MEDICARE: MRS. BRENDA SUE HESS FNP-C
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
1363LS0200XSchool Nurse Practitioner098006565RNOR
2363LF0000XFamily Nurse Practitioner201804970NP-PPOR

General Provider Information

NPI Number : 1962919431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA SUE HESS FNP-C
Provider Business Mailing Address
First Line : PO BOX 1517
Second Line :
City : PENDLETON
State : OR
Zip : 97801-0410
Country : US
Telephone Number : 541-278-4332
Fax Number : 541-278-8349
Provider Business Practice Location Address
First Line : 531 SE CLAY ST
Second Line :
City : DALLAS
State : OR
Zip : 97338-2865
Country : US
Telephone Number : 971-612-6100
Fax Number : 971-612-6101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 09/25/2023

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Directions to “ MRS. BRENDA SUE HESS FNP-C” Practice Location

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