Individual
MS. CAROL ANN PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1270 KOT NUM ROAD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-1347
Mailing address
P.O. BOX 1209, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-1347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
07800800RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273855
—
OR
Enumeration date
04/09/2007
Last updated
05/10/2011
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