Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA DIANE WIDENOJA, BSN, MN, FNP
Active Sole ProprietorPATRICIA DIANE WIDENOJA, BSN, MN, FNP is a Family Nurse Practitioner healthcare provider located in SILVER LAKE, Oregon. NPI 1235110628 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · SILVER LAKE, OR
Registration Details
- NPI Number
- 1235110628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2005 (20.771442775561 yrs)
- Last Updated
- Mar 7, 2023
- License
-
078041667N1 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
85955 RAVEN RIDGE LNSILVER LAKE, OR, 976389627Browse OR providers · Browse ZIP 97638
- Phone
- 5415763070
- Fax
- 5415763070
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.