Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN192118 | OH |
NPI | 1023359106 |
---|---|
Provider Name | Ms. Anne Marie House |
First Address | Dayton, OH 45409-2939 |
Second Address | Dayton, OH 45409-2722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2013 |
Last Update Date | 14/03/2013 |