Organization · Type 2 NPI

Living Waters Family Practice

Family Nurse Practitioner · Grants Pass, OR

NPI number 1457644155 Active

About NPI 1457644155

Living Waters Family Practice's National Provider Identifier is 1457644155, issued on May 27, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants Pass, OR. The record was last updated on May 27, 2011.