Individual
MRS. ETHEL NNANYELUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
667 HARCOURT DR, SPRINGDALE, OH 45246
(513) 919-6341
Mailing address
667 HARCOURT DR, SPRINGDALE, OH 45246-1418
(513) 919-6341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
376072
OH
163WG0000X
General Practice Registered Nurse
Primary
376072
OH
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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