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Individual

NANCY M AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Mailing address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201707122NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
RN162994
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500732652
OR
Enumeration date
08/16/2010
Last updated
08/03/2023
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