Individual
EMILY WASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 S WATER ST, KENT, OH 44240-3548
(330) 678-4009
Mailing address
1500 QUAKER LN, SALEM, OH 44460-1857
(330) 383-2290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0033214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033214
OH BON
OH
Enumeration date
02/07/2023
Last updated
02/07/2023
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