Organization
WELLNESS NURSING'S WAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA D WIDENOJA DNP, FNP (PRESIDENT)
(541) 576-3070
Entity
Organization
Contact information
Practice address
85955 RAVEN RIDGE LN, SILVER LAKE, OR 97638-9627
(541) 576-3070
(541) 576-3070
Mailing address
85955 RAVEN RIDGE LN, SILVER LAKE, OR 97638-9627
(541) 576-3070
(541) 576-3070
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
078041667N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051750
—
OR
Enumeration date
04/10/2015
Last updated
09/14/2015
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