Individual
MOREEN JEANETTE NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
PO BOX 4641, SALEM, OR 97302-8641
(503) 302-8783
Mailing address
PO BOX 4641, SALEM, OR 97302-8641
(503) 302-8783
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201906254
OR
363L00000X
Nurse Practitioner
Primary
10062232
OR
Other
Enumeration date
10/05/2021
Last updated
06/18/2026
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