Individual
OLENA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
375 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-3812
(419) 528-0047
Mailing address
PO BOX 235, LUCAS, OH 44843-0235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0034636
OH
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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