Individual
COURTNEY MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
439997
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0033229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011520
—
OH
Enumeration date
01/04/2023
Last updated
10/15/2023
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