Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | NP-07517 | OH |
NPI | 1184752420 |
---|---|
Provider Name | Ms. Sandra L Conte |
First Address | Westerville, OH 43081-8971 |
Second Address | Westerville, OH 43081-8971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 08/07/2007 |