Individual
MISS NINA MARIA IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1293 ARLINGTON DR, XENIA, OH 45385-5311
(937) 430-0953
(937) 372-8840
Mailing address
1293 ARLINGTON DR, XENIA, OH 45385-5311
(937) 430-0953
(937) 372-8840
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
321040180900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2862111
—
OH
Enumeration date
05/28/2009
Last updated
05/28/2009
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