DWIGHT CARPEN FNP NPI 1982783460

NPI Information

NPI: 1982783460
Provider Name: DWIGHT CARPEN, FNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
390 SE 10TH ST
MADRAS, OR
ZIP 97741
Phone: (541) 383-3005
Get Directions

Dwight Carpen, FNP is a pediatrics nurse practitioner in Madras, OR. Dwight Carpen, FNP NPI is 1982783460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

390 SE 10TH ST
MADRAS, OR
ZIP 97741-573
Phone: (541) 383-3005
Fax: (541) 383-1883

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/30/2023.

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	363LP0200X	Nurse Practitioner	Pediatrics	201602863NP	OREGON	Yes
2	363LF0000X	Nurse Practitioner	Family	AC000238	MARYLAND	No

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	Other Provider Identifier Issuer
1	273855	MEDICAID	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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