Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN356576 | OH |
NPI | 1003365198 |
---|---|
Provider Name | Joni Abramczyk |
First Address | Fairborn, OH 45324-5572 |
Second Address | Dayton, OH 45458-1868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2016 |
Last Update Date | 12/02/2020 |