IndividualActive
Elisabeth Mahmud, RN, AGNP
NPI 1063961373 · Gerontology Nurse Practitioner · Corvallis, OR
Provider details
- NPI number
- 1063961373
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- NC60406565 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3680 Nw Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 754-1150
Approximate (ZIP-level) locationGet directions
Mailing address
444 Nw Elks Drive
Corvallis, OR 97330
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.