Individual
DOUG SPOSETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 S CANFIELD NILES RD, AUSTINTOWN, OH 44515-4085
(330) 799-8752
(330) 799-8754
Mailing address
1450 S CANFIELD NILES RD, AUSTINTOWN, OH 44515-4085
(330) 799-8752
(330) 799-8754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17880-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17880-NP
OHIO BOARD OF NURSING CREDENTIAL NUMBER
OH
Enumeration date
08/17/2015
Last updated
03/04/2016
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