Individual
PATRICIA L MECUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
702 RAMSEY AVE, STE 112, GRANTS PASS, OR 97527-5572
(541) 472-0603
(541) 472-0609
Mailing address
702 RAMSEY AVE, STE 112, GRANTS PASS, OR 97527-5572
(541) 472-0603
(541) 472-0609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275474
—
OR
01
—
P00268292
MEDICARE RAILROAD
OR
Enumeration date
05/31/2005
Last updated
01/14/2008
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