NPI 1881914778 · live from the CMS NPI Registry
Amy Jarvis, RN
Registered Nurse, Home Health in Madras, OR. National Provider Identifier 1881914778, active.
NPI record
| NPI | 1881914778 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Home Health 163WH0200X |
| Practice location | 470 Ne A St, Madras, OR 97741 |
| Practice phone | 541-460-4030 |
| Mailing address | 1505 Nw Birch Ln, Madras, OR 97741 |
| Enumerated | June 2, 2010 |
| Last updated | June 2, 2010 |
| Sole proprietor | No |
| Other names | Amy Baltzor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Home Health primary | 163WH0200X | 086003275RN (OR) |
| Registered Nurse, Hospice | 163WH1000X | 086003275RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.