Lwafp PC INC
NPI #1992951107 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1992951107
- Entity Type
- Organization
- Organization Name
- Lwafp PC INC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Aug 7, 2008
- Last Updated
- Aug 7, 2008
Practice Location
- Address
- 181 NW BUNNELL AVE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-6012
- Phone
- (541) 474-9400
Authorized Official
- Name
- CYNTHIA MAHONEY, MSN, FNP
- Title
- PRESIDENT
- Phone
- (541) 474-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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