Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 15238 | OH |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 15238 | OH |
NPI | 1669813374 |
---|---|
Provider Name | Thomas Flood |
First Address | Akron, OH 44306-3750 |
Second Address | Akron, OH 44306-3750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2013 |
Last Update Date | 03/10/2013 |