Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Jun 15, 2022
License(s)
RN.416479 (OH), APRN.CNP.0031806 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2131 E STATE ST | Athens, OH 45701-2138 | 855-446-5937 |
| MAILING | 100 JACKSON PIKE | Gallipolis, OH 45631-1560 | 740-446-5000 |
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