Individual
PAGE ELAINE DOORNBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
15145 LINCOLN HWY, VAN WERT, OH 45891-9619
(419) 904-4158
Mailing address
206 E CURTIS ST, STRYKER, OH 43557-9468
(419) 670-3684
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032606
OH
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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