Organization · Type 2 NPI
Countryside Acute Care LLC
Family Nurse Practitioner · South Vienna, OH
NPI number
1548974009
Active
Practice location
Main St
South Vienna, OH 45369
Mailing address
931 Wilson Rd
South Vienna, OH 45369-9747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1548974009
Countryside Acute Care LLC's National Provider Identifier is 1548974009, issued on Jan 10, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Vienna, OH. The record was last updated on May 10, 2023.