Individual
EPIE LAWFORD AJEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2131 N LIMESTONE ST, SPRINGFIELD, OH 45503-2676
(937) 360-8434
Mailing address
787 DEERFIELD BLVD, CINCINNATI, OH 45245-1235
(513) 253-2446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 350009
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.15472
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA15472NP
OH
Other
Enumeration date
11/09/2009
Last updated
11/05/2024
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