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Individual

SANDRA JEAN OEHRTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP, CNS, PHD

Contact information

Practice address
635 N ERIE ST, RM 272, TOLEDO, OH 43604-5317
(419) 213-4049
(419) 213-4017
Mailing address
635 N ERIE ST, BILLING RM 272, TOLEDO, OH 43604-5317
(419) 213-4049
(419) 213-4017

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP-04935
OH
364SP0200X
Pediatric Clinical Nurse Specialist
NS-00181
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061022
OH
Enumeration date
03/10/2007
Last updated
12/05/2012
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