Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | COA.11726-NP | OH |
NPI | 1346550472 |
---|---|
Provider Name | Megan L Wispe |
First Address | Cincinnati, OH 45255-2439 |
Second Address | Cincinnati, OH 45255-2439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2010 |
Last Update Date | 23/04/2015 |