ELIZABETH FAIRWEATHER NPI 1437757374

NPI Information

NPI: 1437757374
Provider Name: ELIZABETH FAIRWEATHER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3617 S PACIFIC HWY
MEDFORD, OR
ZIP 97501
Phone: (541) 535-6239
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Elizabeth Fairweather is a family nurse practitioner in Medford, OR with 1 years of experience. Elizabeth Fairweather NPI is 1437757374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

3617 S PACIFIC HWY
MEDFORD, OR
ZIP 97501-957
Phone: (541) 535-6239

The NPI 1437757374 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 10/13/2020 and was last updated on 9/5/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363LF0000X	Nurse Practitioner	Family	10015063	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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