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Individual
SADIE SUPINGER
Active
Individual
SADIE SUPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.328339
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020931
OH
363LF0000X
Family Nurse Practitioner
APRNCNS020931
OH
Other
Enumeration date
09/12/2017
Last updated
09/19/2017
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