Individual provider · Type 1 NPI

Mary N. Kudoja, FNP-BC

Family Nurse Practitioner · Clackamas, OR

NPI number 1770945263 Active

Practice location

10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705

Fax (503) 659-0880

Mailing address

2502 S Ashland Ave
Green Bay, WI 54304-5252

Other practice locations

  • 2502 S Ashland Ave, Green Bay, WI 54304-5252 · (920) 496-4700
  • 9576 Hwy 70, Minocqua, WI 54548-9067 · (715) 358-1767

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10001428 (OR)
Nurse Practitioner 363L00000X6843-33 (WI)

Family Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1770945263

Mary N. Kudoja, FNP-BC's National Provider Identifier is 1770945263, issued on Mar 23, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clackamas, OR. The record was last updated on Sep 5, 2024.