Individual
MARIA JOANN PELPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11099 DOG LEG RD, VANDALIA, OH 45377-9732
(937) 898-3747
Mailing address
11099 DOG LEG RD, VANDALIA, OH 45377-9732
(937) 898-3747
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
210111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2483236
ODJFS PROVIDER NUMBER
OH
Enumeration date
05/04/2007
Last updated
07/08/2007
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