IndividualActive
Bethanee Nicewaner
NPI 1528796604 · Nurse's Aide · Corvallis, OR
Provider details
- NPI number
- 1528796604
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4455 Ne Highway 20
Corvallis, OR 97330-9695
Phone: (541) 758-5900
Approximate (ZIP-level) locationGet directions
Mailing address
142 E Elmore St Apt H21
Lebanon, OR 97355-4814
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.