Individual
PATRICIA LYNN FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
612 BRANTNER LN, CINCINNATI, OH 45244-1541
(513) 528-7594
(513) 528-7594
Mailing address
612 BRANTNER LN, CINCINNATI, OH 45244-1541
(513) 528-7594
(513) 528-7594
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
RN190056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082919
—
OH
Enumeration date
04/20/2006
Last updated
07/08/2007
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