Individual provider · Type 1 NPI

Diana Jaye Wambaugh, NURSE PRACTITIONER

Family Nurse Practitioner · Warm Springs, OR

NPI number 1366699985 Active

Practice location

1270 Kot-Num Rd
Warm Springs, OR 97761-1209

Mailing address

PO Box 1209
Warm Springs, OR 97761-1209

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP 370A (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1366699985

Diana Jaye Wambaugh, NURSE PRACTITIONER's National Provider Identifier is 1366699985, issued on Aug 26, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Warm Springs, OR. The record was last updated on Dec 28, 2012.