Individual
SANDY W NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
1184 W LOCUST ST, WILMINGTON, OH 45177-2009
(937) 382-1616
Mailing address
1184 W LOCUST ST, WILMINGTON, OH 45177-2009
(937) 382-1616
(937) 382-7877
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP03866
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156405
—
OH
Enumeration date
03/31/2006
Last updated
02/20/2013
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