Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 021351 | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 021351 | OH |
NPI | 1457875031 |
---|---|
Provider Name | Mary Mcatee |
First Address | Liberty Twp, OH 45011-0756 |
Second Address | Dayton, OH 45409-2643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2017 |
Last Update Date | 26/07/2017 |