Individual
GAYLE DEVERS NYSWONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
375 DIXMYTH AVE, 799.119, CINCINNATI, OH 45220-2475
(513) 872-2803
(513) 872-7030
Mailing address
375 DIXMYTH AVE, 799.119, CINCINNATI, OH 45220-2475
(513) 872-2803
(513) 872-7030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-04410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069854
—
OH
Enumeration date
11/15/2006
Last updated
07/09/2007
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