Patricia Diane Widenoja, BSN, MN, FNP is a
Nurse Practitioner - Family based in Silver Lake, Oregon. Patricia Diane Widenoja is licensed to practice in Oregon (license number 078041667N1) and her current practice location is
85955 Raven Ridge Ln, Silver Lake, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 576-3070.
NPI number for Patricia Diane Widenoja is 1235110628 and her current mailing address is 85955 Raven Ridge Ln, Silver Lake, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235110628.
Provider's Profile
Full Name | Patricia Diane Widenoja |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 85955 Raven Ridge Ln, Silver Lake, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235110628
- Provider Enumeration Date: 11/11/2005
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Patricia Diane Widenoja such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235110628 | NPI | - | NPPES |
ANP0170 | Other | OR | WORKERS COMPENSATION |
051750 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 078041667N1 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia Diane Widenoja is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patricia Diane Widenoja, BSN, MN, FNP 85955 Raven Ridge Ln, Silver Lake, OR 97638-9627 Ph: (541) 576-3070 | Patricia Diane Widenoja, BSN, MN, FNP 85955 Raven Ridge Ln, Silver Lake, OR 97638-9627 Ph: (541) 576-3070 |
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