ELISABETH ROMATZ MAHMUD RN AGNP NPI 1063961373

NPI Information

NPI: 1063961373
Provider Name: ELISABETH ROMATZ MAHMUD, RN, AGNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3680 NW SAMARITAN DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 754-1150
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Elisabeth Romatz Mahmud, RN, AGNP is a gerontology nurse practitioner in Corvallis, OR. Elisabeth Romatz Mahmud, RN, AGNP NPI is 1063961373. 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:

3680 NW SAMARITAN DR
CORVALLIS, OR
ZIP 97330-737
Phone: (541) 754-1150

The NPI 1063961373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 7/21/2022.

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	163WG0600X	Registered Nurse	Gerontology	NC60406565	WASHINGTON	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP60689189	WASHINGTON	No
3	363LG0600X	Nurse Practitioner	Gerontology	201701726NP-PP	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: 4/28/2024

NPI Synchronization or Removal

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