Individual
MRS. PHOEBE ANN PRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1801 POPLAR DR, APARTMENT 5, MEDFORD, OR 97504-4672
(541) 499-6302
Mailing address
1801 POPLAR DR, APARTMENT 5, MEDFORD, OR 97504-4672
(541) 499-6302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
084051447RN
OR
163WM0705X
Medical-Surgical Registered Nurse
084051447RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
084051447RN
OR
Other
Enumeration date
10/15/2012
Last updated
10/25/2012
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