Individual
JUDITH ELIZABETH WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MN
Contact information
Practice address
600 NW 11TH ST, SUITE E-37, HERMISTON, OR 97838-8602
(541) 667-3492
(541) 667-3731
Mailing address
610 NW 11TH STREET, HERMISTON, OR 97838
(541) 667-3732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00025363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213051
—
OR
Enumeration date
12/09/2005
Last updated
07/08/2007
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