Carol Ann Ledbetter, APRN, BC

Individual provider Active NPI Family Nurse Practitioner · Union, OR

NPI 1992877823 · NPPES record last updated Oct 29, 2007

Key facts

NPI
1992877823
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
Practice address
142 E. Dearborn
Union, OR 97883
Phone
(541) 562-6062
Fax
(541) 562-5757
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
200650034NP FNP-PPORMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X OR Yes

Addresses

Primary practice location

142 E. Dearborn
Union, OR 97883

Mailing address

905 15TH St
La Grande, OR 97850-2835
Phone (541) 962-3050

Other providers in Union, OR

All providers in Union, OR · Family Nurse Practitioner in Oregon

Sources for this page

Verify at the official NPI Registry.