Individual
KERRY ANN MAWDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550069NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005881
—
OR
01
—
P01285411
MEDICARE RAILROAD
OR
Enumeration date
01/23/2006
Last updated
05/12/2014
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