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Individual

MRS. NANCY L SEMICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
(541) 389-8760
Mailing address
2200 NE PROFESSIONAL CT, BEND, OR 97701
(541) 389-6313
(541) 389-8760

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
087006362
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
087006362RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083428
OR
Enumeration date
12/19/2005
Last updated
04/08/2009
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