Individual provider · Type 1 NPI
Emily Renee Wittenberg
Psychiatric/Mental Health Nurse Practitioner · Ontario, OR
NPI number
1720797657
Active
Practice location
702 Sunset Dr
Ontario, OR 97914-3121
Fax (541) 889-7873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 202113193RN (OR) |
| Nurse Practitioner | 363L00000X | 10006239 (OR) |
| Family Nurse Practitioner | 363LF0000X | 10006239 (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10006239 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720797657
Emily Renee Wittenberg's National Provider Identifier is 1720797657, issued on Nov 18, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ontario, OR. The record was last updated on Mar 25, 2025.