Individual
MS. AUTUMN DAWN NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
104 N MICHIGAN AVE, WELLSTON, OH 45692-1144
(740) 418-8420
Mailing address
104 N MICHIGAN AVE, WELLSTON, OH 45692-1144
(740) 418-8420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.379485
OH
164W00000X
Licensed Practical Nurse
PN.118312-MEDS
OH
Other
Enumeration date
11/15/2011
Last updated
02/09/2017
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