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Individual

MS. CHRISTINE A UTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.N., NP

Contact information

Practice address
2130 W CENTRAL AVE STE 201, TOLEDO, OH 43606-3819
(419) 291-3900
(419) 479-6055
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 291-3900
(419) 479-6055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.07625-NP
OH
363LF0000X
Family Nurse Practitioner
RN171234
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2472944
OH
Enumeration date
09/23/2005
Last updated
05/23/2018
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