Individual
JUSTIN P DENNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
676 NE MAPLE AVE, REDMOND, OR 97756-8527
(602) 570-1237
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 504-9577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP8638
AZ
363LF0000X
Family Nurse Practitioner
Primary
202101566
OR
Other
Enumeration date
08/19/2016
Last updated
02/16/2023
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