Individual
DAUNTRICA MICHELE WALLSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
930 BETHESDA DR STE 4, ZANESVILLE, OH 43701-0815
(740) 569-5737
Mailing address
9046 LUPINE DR, REYNOLDSBURG, OH 43068-6811
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.020997
OH
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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