Individual provider · Type 1 NPI
Patricia Diane Widenoja, BSN, MN, FNP
Family Nurse Practitioner · Silver Lake, OR
NPI number
1235110628
Active
Practice location
85955 Raven Ridge Ln
Silver Lake, OR 97638-9627
Fax (541) 576-3070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 078041667N1 (OR) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1235110628
Patricia Diane Widenoja, BSN, MN, FNP's National Provider Identifier is 1235110628, issued on Nov 11, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Silver Lake, OR. The record was last updated on Mar 7, 2023.