Individual provider · Type 1 NPI
Mary Ann Nametka, DNP, MSN, CWON, FNP-BC
Family Nurse Practitioner · Portland, OR
NPI number
1104835297
Active
Practice location
7914 SE Main St
Portland, OR 97215-3031
Fax (888) 898-0933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60063158 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | 200750071NP (OR) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104835297
Mary Ann Nametka, DNP, MSN, CWON, FNP-BC's National Provider Identifier is 1104835297, issued on Aug 6, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jan 28, 2024.