Individual
CONNIE S FORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1212 CHERRY ST, TOLEDO, OH 43608-2906
(419) 936-7415
Mailing address
1212 CHERRY ST, TOLEDO, OH 43608-2906
(419) 936-7415
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN318170
OH
Other
Enumeration date
03/25/2014
Last updated
02/20/2017
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