Mawdsley, Kerry Ann
Mawdsley, Kerry Ann is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mawdsley, Kerry Ann can be contacted via phone (541) 382-2811.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200550069NP | Oregon |
Profile Details
| NPI number | 1891775094 |
|---|---|
| LBN Legal business name | Mawdsley, Kerry Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | May 12th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891775094 | NPPES |
| Oregon | MEDICAID | 005881 | |
| Oregon | Other | P01285411 |
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