PHYLLIS TEMPLE FNP NPI 1104861798

NPI Information

NPI: 1104861798
Provider Name: PHYLLIS TEMPLE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
200 N MONROE ST
EUGENE, OR
ZIP 97402
Phone: (541) 686-1427
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Phyllis Temple, FNP is a family nurse practitioner in Eugene, OR. Phyllis Temple, FNP NPI is 1104861798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 N MONROE ST
EUGENE, OR
ZIP 97402-243
Phone: (541) 686-1427
Fax: (541) 341-1693

The enumeration date for this NPI number is 6/18/2006 and was last updated on 3/11/2010.

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	363LF0000X	Nurse Practitioner	Family	85073091N1	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	210911	MEDICAID	OREGON
2	S89635	MEDICARE UPIN
3	R105221	MEDICARE PIN	OREGON
4	RR PTAN 500007808	MEDICARE PIN	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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