Organization
BLUFFTON PEDIATRICS
Active
Organization
BLUFFTON PEDIATRICS
Active
Other names
New Purpose LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH A BISH CNP (NURSE PRACTITIONER)
(419) 549-5865
Entity
Organization
Contact information
Practice address
505 E JEFFERON STREET, SUITE A, BLUFFTON, OH 45817
(419) 549-5865
(567) 226-1055
Mailing address
505 E JEFFERON STREET, SUITE A, BLUFFTON, OH 45817-1349
(419) 549-5865
(567) 226-1055
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA08524NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2677045
—
OH
Enumeration date
03/03/2015
Last updated
03/03/2015
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