MS. THERESA BIDWELL, FNP/PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1114966819
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA00451 (OR) |
| Nurse Practitioner - Family | 363LF0000X | No | 392031 (CA) |
Frequently Asked Questions
NPI 1114966819 is the National Provider Identifier for MS. THERESA BIDWELL, FNP/PA-C, a Physician Assistant - Medical provider located in White City, OR. This NPI was enumerated on June 6, 2006.
MS. THERESA BIDWELL, FNP/PA-C practices at 8495 CRATER LAKE HWY, 118-GV, White City, OR 97503.
Quick Facts
- NPI
- 1114966819
- Type
- Individual
- Enumerated
- Jun 6, 2006
- Last Updated
- Jan 23, 2017
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