Individual
LIDIA MARIA BERRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3085 WOODMAN DR STE 205, KETTERING, OH 45420-1171
(937) 502-4567
(609) 293-0270
Mailing address
3085 WOODMAN DR STE 205, KETTERING, OH 45420-1171
(937) 502-4567
(609) 293-0270
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.07521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327604
ANTHEM
OH
05
—
2540585
—
OH
Enumeration date
07/18/2005
Last updated
10/04/2024
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