ELYSIAN HEALTH NPI 1013458405

NPI Information

NPI: 1013458405
Provider Name: ELYSIAN HEALTH
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
835 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 507-4141
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ELYSIAN HEALTH is an adult health nurse practitioner in Medford, OR. ELYSIAN HEALTH NPI is 1013458405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

835 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504-505
Phone: (541) 507-4141

The provider's authorized official is Gabrielle Fey .
The authorized official title is Owner and has the following contact phone number (541) 507-4141.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 3/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	201604728NP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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