Individual
SONDRA BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4135 DIXIE HWY, ELSMERE, KY 41018-1815
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005726
KY
363L00000X
Nurse Practitioner
COA.10444-NP
OH
363LA2200X
Adult Health Nurse Practitioner
3005726
KY
363LA2200X
Adult Health Nurse Practitioner
COA.10444-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200934680
—
IN
05
—
2926525
—
OH
05
—
7100065890
—
KY
Enumeration date
11/14/2008
Last updated
09/08/2022
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