Individual provider · Type 1 NPI

Kim R. Cantwell-Gab, ARNP

Nurse Practitioner · Medford, OR

NPI number 1962601310 Active

Practice location

1698 E Mcandrews Rd, Suite 300
Medford, OR 97504-5589

Mailing address

520 Medical Center Dr, Ste 200
Medford, OR 97504-4314

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP30007760 (WA)
Nurse Practitioner Primary 363L00000X201503207NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962601310

Kim R. Cantwell-Gab, ARNP's National Provider Identifier is 1962601310, issued on Jul 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Sep 24, 2020.