Individual provider · Type 1 NPI
Elisabeth Romatz Mahmud, RN, AGNP
Gerontology Nurse Practitioner · Corvallis, OR
NPI number
1063961373
Active
Practice location
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Mailing address
444 NW Elks Drive
Corvallis, OR 97330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | NC60406565 (WA) |
| Gerontology Nurse Practitioner | 363LG0600X | AP60689189 (WA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 201701726NP-PP (OR) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1063961373
Elisabeth Romatz Mahmud, RN, AGNP's National Provider Identifier is 1063961373, issued on Sep 27, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Corvallis, OR. The record was last updated on Jul 21, 2022.