Johanna Ellen Fickett in Madras - Community Health

Johanna Ellen Fickett - NPI 1114014644

Johanna Ellen Fickett is a Community Health in Madras, Oregon. Johanna Ellen Fickett practices all healthcare services and medical treatments related to Community Health. The NPI Number for Johanna Ellen Fickett is 1114014644. The last update date is 2007-07-08.

Johanna Ellen Fickett's current location address is Po Box 215, Madras, Oregon. You can contact this provider via phone number 5415531196 and fax number 5415532457. The mailing address for Johanna Ellen Fickett is Po Box 215, Madras, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Johanna Ellen Fickett
Address Po Box 215, Madras, Oregon
Phone Number 5415531196
Fax Number 5415532457
Sole Proprietor N
Credentials R.N.

NPI Number Detail

NPI Number 1114014644
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 215
City Madras
State Oregon (OR)
Post Code 977410036
Phone Number 5415531196
Fax Number 5415532457

Provider's Primary Taxonomy Detail

Speciality Community Health
Taxonomy 163Wc1500X
Licence No 27695
Definition:
A registered nurse who improves the health of entire communities and populations.

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FAQs about Johanna Ellen Fickett

What is the unique provider identifier assigned to Johanna Ellen Fickett?

The Johanna Ellen Fickett has been issued the NPI (National Provider Identifier) 1114014644 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Johanna Ellen Fickett is physically located?

The Johanna Ellen Fickett is situated at the following address: Po Box 215, Madras, OR 977410036.

What is Johanna Ellen Fickett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Johanna Ellen Fickett is Community Health, and the taxonomy code that classifies this field of practice is 163Wc1500X.

On what date did the Johanna Ellen Fickett receive the assignment of its 1114014644 from the Centers for Medicare & Medicaid Services?

The Johanna Ellen Fickett was issued its 1114014644 by the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date were the details pertaining to Johanna Ellen Fickett last refreshed?

The information related to the Johanna Ellen Fickett, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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