Individual
DEBRA DIANNE POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
10475 MONTGOMERY RD, SUITE 1J, CINCINNATI, OH 45242-5201
(513) 791-5548
(513) 791-5549
Mailing address
10475 MONTGOMERY RD, SUITE 1J, CINCINNATI, OH 45242-5201
(513) 791-5548
(513) 791-5549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207892
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
10721
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201008380A
—
IN
05
—
3109648
—
OH
05
—
7100153790
—
KY
Enumeration date
12/17/2010
Last updated
04/08/2011
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