BREA DI DATO

BEND, OR
NPI1770025959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201906949NP-PP)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  201902570RN)
363LF0000X Nurse Practitioner, Family
(Licence: OR  201906949NP-PP)
Enumeration Date2016-11-05
Last Update Date2024-09-23
Business Address
BREA DI DATO FNP, PMHNP
1001 SW DISK DR STE 250
BEND, OR 97702-3754
Phone number: 541-293-1325
Mailing Address
BREA DI DATO FNP, PMHNP
1001 SW DISK DR STE 250
BEND, OR 97702-3754
Phone number: 541-293-1325