Individual
MRS. JANELLE JEAN BALDOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-CNP
Contact information
Practice address
725 N SANDUSKY AVE, SUITE 4, BUCYRUS, OH 44820-1463
(740) 383-8665
Mailing address
1000 MCKINLEY PARK DR., MARION, OH 43302-6397
(740) 383-8400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.12506-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5514803
—
OH
Enumeration date
09/13/2011
Last updated
09/13/2011
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