Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | NP-07176 | OH |
NPI | 1013959337 |
---|---|
Provider Name | Rebecca L Schlanger |
First Address | Sugar Grove, OH 43155-9732 |
Second Address | Sugar Grove, OH 43155-9732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 29/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000378527 | ANTHEM BC/BS (01) | OH |
2360378 | (05) | OH |
P00188385 | RAILROAD MEDICARE (01) | OH |
P73477 | (02) | OH |