Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 0028945 | OH |
NPI | 1003480328 |
---|---|
Provider Name | Paige Schuler |
First Address | Troy, MI 48084-4135 |
Second Address | Loveland, OH 45140-2020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2021 |
Last Update Date | 25/08/2021 |