Individual
STELLA E ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
248 BLYMYER AVE, MANSFIELD, OH 44903-2306
(419) 524-2212
Mailing address
308 GLESSNER AVE, MANSFIELD, OH 44903-2225
(419) 526-8962
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA04639NP
OH
Other
Enumeration date
07/08/2010
Last updated
01/25/2022
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