Individual
TANYA FRESQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
147 S 52ND PL, SPRINGFIELD, OR 97478-6210
(541) 746-1166
Mailing address
5309 OLYMPIC CIR, EUGENE, OR 97402-6495
(541) 279-4312
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201393834RN
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
PENDING
OR
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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