Individual
MS. HEATHER RENEE DEMETRIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5981 FAR HILLS AVE, DAYTON, OH 45429-2211
(866) 389-2727
Mailing address
4216 IRELAN ST, KETTERING, OH 45440-1529
(937) 296-0384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15829-NP
OH
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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