Individual
ELIZABETH URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 JENNINGS RD, ROSSFORD, OH 43460-1143
(419) 215-1596
Mailing address
331 JENNINGS RD, ROSSFORD, OH 43460-1143
(419) 215-1596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 327956-1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA. 19157-CP
OH
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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