MAYRA ELAINE DENNIS FNP NPI 1316925472

NPI Information

NPI: 1316925472
Provider Name: MAYRA ELAINE DENNIS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2215 NW SHEVLIN PARK RD STE 100
BEND, OR
ZIP 97703
Phone: (541) 389-7741
Get Directions

Mayra Elaine Dennis, FNP is a family nurse practitioner in Bend, OR with 22 years of experience. Mayra Elaine Dennis, FNP NPI is 1316925472. 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:

2215 NW SHEVLIN PARK RD STE 100
BEND, OR
ZIP 97703-195
Phone: (541) 389-7741
Fax: (541) 278-8375

The NPI 1316925472 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 1/8/2006 and was last updated on 5/2/2018.

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	200250060NP	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	Other Provider Identifier Issuer
1	000627	OTHER	OREGON	OMAP PERFORMING PROVIDER

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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