MABEL Y DZATA CNM RNP NPI 1710902952

NPI Information

NPI: 1710902952
Provider Name: MABEL Y DZATA, CNM RNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
1373 N 10TH AVE
STAYTON, OR
ZIP 97383
Phone: (503) 769-9522
Get Directions

Mabel Y Dzata, CNM RNP is a women's health nurse practitioner in Stayton, OR. Mabel Y Dzata, CNM RNP NPI is 1710902952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1373 N 10TH AVE
STAYTON, OR
ZIP 97383-037
Phone: (503) 769-9522
Fax: (503) 769-9530

The enumeration date for this NPI number is 7/12/2006 and was last updated on 5/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	200050056NP NMNP PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000855	MEDICAID	OREGON
2	159126	MEDICARE PIN	OREGON
3	P85473	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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