MABEL Y DZATA CNM RNP NPI 1710902952

NPI Information

  • NPI: 1710902952
  • Provider Name: MABEL Y DZATA, CNM RNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 1373 N 10TH AVE
    STAYTON, OR
    ZIP 97383
  • Phone: (503) 769-9522

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NPI Details

Mabel Y Dzata, CNM RNP is a women's health nurse practitioner in Stayton, OR. Mabel Y Dzata, CNM RNP NPI is 1710902952. 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:

1373 N 10TH AVE
STAYTON, OR
ZIP 97383-037
Phone: (503) 769-9522
Fax: (503) 769-9530

The enumeration date for this NPI number is 7/12/2006 and was last updated on 5/9/2013.

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
1363LW0102XNurse PractitionerWomen's Health200050056NP NMNP PPOREGONYes

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
1000855MEDICAIDOREGON
2159126MEDICARE PINOREGON
3P85473MEDICARE UPINOREGON

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: 3/30/2025

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