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Individual

MS. ANNA MAPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
207 SW 1ST ST, ENTERPRISE, OR 97828-1203
(541) 246-0801
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200742902RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200742902RN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
02/21/2018
Last updated
02/21/2018
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