Individual provider · Type 1 NPI
Abby Ehntholt, N.P.
Family Nurse Practitioner · Bend, OR
NPI number
1871969022
Active
Practice location
2195 NW Shevlin Park Rd Ste 100
Bend, OR 97703-7102
Fax (541) 429-6659
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 101.0114340 (VT) |
| Family Nurse Practitioner Primary | 363LF0000X | 33340757 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1871969022
Abby Ehntholt, N.P.'s National Provider Identifier is 1871969022, issued on Aug 11, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bend, OR. The record was last updated on Aug 31, 2021.