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Individual

MRS. ELMIRA AZATOVNA WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
2902 TOM TENNANT DR, WOODBURN, OR 97071-2828
(971) 345-4767
(971) 345-4769
Mailing address
2038 E EAGLE CREST DR, DRAPER, UT 84020-5705
(801) 949-8910

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10008493
OR
363LF0000X
Family Nurse Practitioner
6406207-4405
UT

Other

Enumeration date
12/01/2018
Last updated
08/09/2023
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