Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.021784 | OH |
NPI | 1023539517 |
---|---|
Provider Name | Anna Ward |
First Address | Mason, OH 45040-3104 |
Second Address | Mason, OH 45040-3104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2017 |
Last Update Date | 09/05/2019 |