Individual
JOHN BOUDOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.461770
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027959
OH
Other
Enumeration date
12/03/2019
Last updated
11/01/2023
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