Individual
KAYLA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
700 SW RAMSEY AVE, SUITE 101, GRANTS PASS, OR 97527-5786
(541) 507-2080
Mailing address
700 SW RAMSEY AVE, SUITE 101, GRANTS PASS, OR 97527-5786
(541) 507-2080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201605488RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201605489NP-PP
OR
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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