Wellformed AI

NPI 1952258030 · live from the CMS NPI Registry

Lisa Fitzgerald Bronson, RN

Registered Nurse, General Practice in Enterprise, OR. National Provider Identifier 1952258030, active.

NPI record

NPI1952258030 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, General Practice 163WG0000X
Practice location603 Medical Pkwy, Enterprise, OR 97828
Practice phone541-426-4502
EnumeratedMarch 16, 2026
Last updatedMarch 16, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, General Practice primary163WG0000X202200711RN (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.