Individual
PATRICIA ANN KOUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CNP
Contact information
Practice address
870 W MAIN ST, GENEVA, OH 44041-1219
(440) 415-0231
Mailing address
1451 PEPPERWOOD DR, NILES, OH 44446-3542
(330) 240-1126
(330) 544-8788
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA.11211-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3016005
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.11211-NP
OH
Other
Enumeration date
08/02/2010
Last updated
12/03/2021
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