Individual
ALISON MARIE FAGGIONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
112 INDEPENDENCE WAY STE 110, CLYDE, OH 43410-9812
(419) 483-9000
Mailing address
1905 CLEVELAND RD W, HURON, OH 44839-1200
(419) 707-7775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0028723
OH
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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