Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN MICHAEL PRUDENCIO, FNP
ActiveSTEVEN MICHAEL PRUDENCIO, FNP is a Family Medicine healthcare provider located in ROSEBURG, Oregon. NPI 1811366545 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROSEBURG, OR
Registration Details
- NPI Number
- 1811366545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2015 (10.885323894103 yrs)
- Last Updated
- Sep 4, 2025
- License
-
201909746NP-PP (OR)
Practice Information
- Address
-
340 NW MEDICAL LOOPROSEBURG, OR, 974711645Browse OR providers · Browse ZIP 97471
- Phone
- 5414645907
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| DR. CLYDE A. KEYS | MD | 1952300881 |
| DR. CURTIS K HANST | MD | 1083614648 |
| LAURENCE M. SHARP | DO | 1780677146 |
| DR. THOMAS S TURK | M.D. | 1730161571 |
| AIMEE FOLSOM HANSEN | FNP | 1376527788 |
| SARAH LYNN AGSTEN | DO | 1104803691 |
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.