Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APRN.CNP.024471 | OH |
NPI | 1144781352 |
---|---|
Provider Name | Kimberly Ann Neuenschwander |
First Address | Columbus, OH 43205-2664 |
Second Address | Lima, OH 45801-4602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2019 |
Last Update Date | 21/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0342057 | (05) | OH |