Individual
CONNIE BIERLY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2148 E MAIN ST, CORNER CARE CLINIIC, SPRINGFIELD, OH 45503-4956
(937) 525-0455
Mailing address
240 ARDMORE DR, CEDARVILLE, OH 45314-9594
(937) 766-1490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 07481-NP
OH
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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