Provider Demographics
NPI:1528478708
Name:LOZIER, DEENA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:
Last Name:LOZIER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 NW CARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-1110
Mailing Address - Country:US
Mailing Address - Phone:541-429-0537
Mailing Address - Fax:
Practice Address - Street 1:1215 NW CARDEN AVE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-1110
Practice Address - Country:US
Practice Address - Phone:541-429-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200241794RN163W00000X
WARN 60372206163W00000X
OR201404306NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse