Individual
ANNE M ANDRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1722 RIDGE RD NW, BOLIVAR, OH 44612-8511
(330) 605-2107
Mailing address
1722 RIDGE RD NW, BOLIVAR, OH 44612-8511
(330) 605-2107
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
351540
OH
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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