DIANA JAYE WAMBAUGH NURSE PRACTITIONER NPI 1366699985

NPI Information

NPI: 1366699985
Provider Name: DIANA JAYE WAMBAUGH, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1270 KOT-NUM RD
WARM SPRINGS, OR
ZIP 97761
Phone: (208) 336-1836
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Diana Jaye Wambaugh, NURSE PRACTITIONER is a family nurse practitioner in Warm Springs, OR. Diana Jaye Wambaugh, NURSE PRACTITIONER NPI is 1366699985. 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:

1270 KOT-NUM RD
WARM SPRINGS, OR
ZIP 97761-209
Phone: (208) 336-1836

The enumeration date for this NPI number is 8/26/2008 and was last updated on 12/28/2012.

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	NP 370A	IDAHO	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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