Individual provider · Type 1 NPI

Maryellen Hibbard, FNP

Family Nurse Practitioner · Gresham, OR

NPI number 1497954994 Active

Practice location

831 NW Council Dr, Suite 300
Gresham, OR 97030-3721

Fax (503) 408-4077

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200150111NP (OR)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1497954994

Maryellen Hibbard, FNP's National Provider Identifier is 1497954994, issued on Jul 13, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gresham, OR. The record was last updated on May 5, 2008.