Individual
CECE A KAIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, APRN
Contact information
Practice address
1545 HARBECK RD, GRANTS PASS, OR 97527
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201806089NP-PP
OR
363LF0000X
Family Nurse Practitioner
3009671
KY
363LF0000X
Family Nurse Practitioner
AP60744996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841669967
—
KY
05
—
2264946
—
WA
05
—
500758028
—
OR
Enumeration date
09/18/2015
Last updated
09/04/2024
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