Nurse Practitioner Alliance Llc

NPI 1063704203 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1063704203
Enumeration Date 05/05/2011
Last Updated 05/02/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DONNA FAY DONNA
Position CFO
Phone (419) 528-9333
Fax
Practice Location
7326 STATE ROUTE 19
UNIT 5416
MOUNT GILEAD OH, 43338-9354, US
Phone (419) 528-9333
Fax
Business Location
7326 STATE ROUTE 19 UNIT 5416
MOUNT GILEAD OH, 43338-9349, US
Phone (419) 528-9333
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Ohio
License Number 11665
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According to our database, Nurse Practitioner Alliance Llc NPI is 1063704203, taxonomy code is 363LA2200X and license number is 11665, license state is located at Ohio. Nurse Practitioner Alliance Llc physically located at 7326 State Route 19, Mount Gilead OH, 43338-9354. NPI Number 1033115704 has the healthcare provider type.

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1063704203 NPI number is provided on an as is basis without warranty of any kind. 1063704203 is maintained by the National Plan & Provider Enumeration System. The contents of Nurse Practitioner Alliance Llc are for informational purposes only.