Individual
NICOLE MARIE KONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6006 FRANCES CT, SYLVANIA, OH 43560-4517
(419) 340-7697
Mailing address
6006 FRANCES CT, SYLVANIA, OH 43560-4517
(419) 340-7697
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0029186
OH
Other
Enumeration date
06/03/2021
Last updated
08/03/2021
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