Organization
FAMILY WELLNESS PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITRA MARIE NIECE APRN (NURSE PRACTITIONER)
(513) 307-5798
Entity
Organization
Contact information
Practice address
2822 MACK RD, FAIRFIELD, OH 45014-5130
(513) 307-5798
Mailing address
10864 PIPPIN RD, CINCINNATI, OH 45231-1546
(513) 307-5798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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