Elizabeth Leslie Dimick, RN
Individual provider Active NPI Registered Nurse · Eagle Point, OR
NPI 1780924019 · NPPES record last updated Feb 23, 2013
Key facts
- NPI
- 1780924019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 201043008RN (OR)
- Practice address
- 261 Sierra Dr
Eagle Point, OR 97524-7702 - Phone
- (239) 770-4960
- NPI assigned
- Feb 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201043008RN | OR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201043008RN | OR | Yes |
Addresses
Primary practice location
261 Sierra Dr
Eagle Point, OR 97524-7702
Mailing address
261 Sierra Dr
Eagle Point, OR 97524-7702
Phone (239) 770-4960
Other providers in Eagle Point, OR
- Kathryn Marie Daniels
- Kaytlin Maria Davis
- Sara Devette
- Nicholas H Dienel
- Sandra Dillin
- Richard Dowling Jr.
- Eagle Cove
- Eagle Point Dental Group,P.C.
- Eagle Point Eye Care, P.C.
- Eagle Point Family Dentistry
All providers in Eagle Point, OR · Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.