Individual
DEANNA LYNNE NUSSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1480 TOD AVE, WARREN, OH 44485
(330) 392-0311
Mailing address
1480 TOD AVE, WARREN, OH 44485
(330) 392-0311
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN.229180
OH
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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