Individual
MARIAH COURTNEY
Active
Individual
MARIAH COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
433520
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
2023062484
OH
Other
Enumeration date
09/19/2024
Last updated
09/14/2025
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