Individual
ANDREA L NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
222 SE JEFFERSON ST, SHERIDAN, OR 97378-1924
(503) 843-1535
(503) 843-1536
Mailing address
PO BOX 1023, ROSEBURG, OR 97470-0232
(541) 440-6390
(541) 440-6392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201705780NP-PP
OR
Other
Enumeration date
04/29/2015
Last updated
08/09/2023
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