Individual
KAYLA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
710 SUNSET DR STE E, LA GRANDE, OR 97850-1200
(541) 663-3100
(541) 975-5135
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-1967
(541) 975-5135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201508098NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694438
—
OR
Enumeration date
08/10/2015
Last updated
05/14/2024
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