Individual
LINDA KAY BROUZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
221 W STEWART AVE STE 101, MEDFORD, OR 97501-3609
(541) 690-3500
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
098006678N5 NMNP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
943096772
TAX IDENTIFICATION NUMBER
—
Enumeration date
03/27/2006
Last updated
01/23/2020
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