Individual
ANDREA GIACHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3156 STATE ST, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Mailing address
3144 STATE ST, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
731055
CA
363LF0000X
Family Nurse Practitioner
Primary
201608621NP-PP
OR
363LF0000X
Family Nurse Practitioner
281990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942670229
—
NC
Enumeration date
09/30/2015
Last updated
03/24/2022
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