Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN.CNP.13669 | OH |
N | 363LP0200X | Nurse Practitioner - Pediatrics | COA.13669-NP | OH |
NPI | 1013264894 |
---|---|
Provider Name | Allison Marie Wasserman |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2012 |
Last Update Date | 21/11/2017 |