Organization
INDEPENDENCE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIE MURIEL THOMAS DNP, FNP-BC (NURSE PRACTITIONER)
(614) 893-6800
Entity
Organization
Contact information
Practice address
4595 WALNUT RD STE L, BUCKEYE LAKE, OH 43008-7909
(740) 822-0080
(740) 822-0081
Mailing address
4595 WALNUT RD STE L, BUCKEYE LAKE, OH 43008-7909
(740) 822-0080
(740) 822-0081
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
07/05/2024
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