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Mary Terese Dodd, FNP

Nurse Practitioner, Family in Fortuna, CA. Individual provider (NPI-1).

NPI number1386367381
StatusActive
Last updated in NPPESSep 23, 2022

Details

NPI
1386367381
Entity type
Individual (NPI-1)
Name
Mrs. Mary Terese Dodd
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2022
Certification date
Sep 23, 2022
Last updated
Sep 23, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95022687CAYes

Practice location

874 Main St
Fortuna, CA 95540-1926

Phone 707-725-3334 · Fax 707-725-2455

Mailing address

Po Box 7306
Eureka, CA 95502-7306

Phone 707-683-5073

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Fortuna, CA

All 5 Family Nurse Practitioner providers in Fortuna · All 255 providers in Fortuna

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