Individual
ABIGAIL FAITH SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-1400
Mailing address
8431 DEER PATH, WEST CHESTER, OH 45069-5909
(937) 286-5575
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0030617
OH
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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