Individual
MR. NEVEN PESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
4500 SCIOTO PKWY, POWELL, OH 43065-7028
(740) 417-5144
Mailing address
4500 SCIOTO PKWY, POWELL, OH 43065-7028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4820841
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F3814671
NY
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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