Patricia Diane Widenoja, BSN, MN, FNP | |
85955 Raven Ridge Ln, Silver Lake, OR 97638-9627 | |
(541) 576-3070 | |
(541) 576-3070 |
Full Name | Patricia Diane Widenoja |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 85955 Raven Ridge Ln, Silver Lake, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235110628 | NPI | - | NPPES |
ANP0170 | Other | OR | WORKERS COMPENSATION |
051750 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 078041667N1 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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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 |