Individual
HATTIE RENEE SPRAWL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6604 SIMPSON AVE, CINCINNATI, OH 45239-4715
(513) 931-0609
Mailing address
6604 SIMPSON AVE, CINCINNATI, OH 45239
(513) 931-0609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN117310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN117310
NURSING LICENSE
OH
Enumeration date
04/20/2010
Last updated
04/20/2010
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