Individual
NATALLIE PAPHANCHITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
(419) 226-4315
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.13214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063492
—
OH
Enumeration date
03/13/2012
Last updated
03/17/2015
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