Ingrid Large Edstrom in Eugene - Family
Ingrid Large Edstrom - NPI 1689630410
Ingrid Large Edstrom is a Family in Eugene, Oregon. Ingrid Large Edstrom practices all healthcare services and medical treatments related to Family. The NPI Number for Ingrid Large Edstrom is 1689630410. The last update date is 2021-07-16.
Ingrid Large Edstrom's current location address is 1102 Hodson Ln, Eugene, Oregon. You can contact this provider via phone number 5413022977 and fax number 5413026565. The mailing address for Ingrid Large Edstrom is 1102 Hodson Ln, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid Large Edstrom |
|---|---|
| Address | 1102 Hodson Ln, Eugene, Oregon |
| Phone Number | 5413022977 |
| Fax Number | 5413026565 |
| Sole Proprietor | N |
| Credentials | BSN CFNP M |
NPI Number Detail
| NPI Number | 1689630410 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2021-07-16 |
Provider Mailing Address Detail
| Address | 1102 Hodson Ln |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974042944 |
| Phone Number | 5413022977 |
| Fax Number | 5413026565 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1113222 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269858 | OR | -- | |
| 200550045NPPP | OR FNP# | ||
| NP2194 | OR | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Ingrid Large Edstrom by the Centers for Medicare & Medicaid Services?
The Ingrid Large Edstrom has been issued the NPI (National Provider Identifier) 1689630410. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ingrid Large Edstrom located?
The Ingrid Large Edstrom is located at 1102 Hodson Ln, Eugene, OR 974042944.
What is Ingrid Large Edstrom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ingrid Large Edstrom is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When was the Ingrid Large Edstrom's 1689630410 issued?
The Ingrid Large Edstrom's 1689630410 was issued on 2006-04-21.
As of what date were the Ingrid Large Edstrom's details last updated?
The information pertaining to the Ingrid Large Edstrom, including its address, specialty, and other details, was most recently updated on 2021-07-16.
NPI Number: 1720081763
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