Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35047984 | OH |
NPI | 1003862061 |
---|---|
Provider Name | Dr. Nancy Deblasis |
First Address | Cincinnati, OH 45212-3359 |
Second Address | Cincinnati, OH 45236-2283 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 17/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0565544 | (05) | OH |
E29538 | (02) | OH |