Individual
EDEN RENEE ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
63333 HIGHWAY 20, BEND, OR 97703
(541) 388-6655
Mailing address
63333 HIGHWAY 20, BEND, OR 97703-8587
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201250026NP
OR
363LC1500X
Community Health Nurse Practitioner
Primary
201250026NP
OR
Other
Enumeration date
03/13/2012
Last updated
07/02/2019
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