Organization · Type 2 NPI
Old Tyme Family Medicine, LLC
Family Nurse Practitioner · London, OH
NPI number
1114642907
Active
Practice location
57 W High St
London, OH 43140-1050
Fax (740) 490-7055
Mailing address
PO Box 138
Lewis Center, OH 43035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1114642907
Old Tyme Family Medicine, LLC's National Provider Identifier is 1114642907, issued on Oct 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in London, OH. The record was last updated on Feb 28, 2023.