Maryjane Np INC

NPI #1538712393 in Fairfield, Ohio

Provider Information

NPI Number
1538712393
Entity Type
Organization
Organization Name
Maryjane Np INC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Jul 22, 2019
Last Updated
Jul 22, 2019

Practice Location

Address
3830 WOODRIDGE BLVD STE C
State
Ohio
ZIP Code
45014-7564
Phone
(702) 907-2733

Authorized Official

Name
MRS. EVONNE B STEPHENSON, APRN-CNP
Title
FAMILY NURSE PRACTITIONER
Phone
(513) 677-8855

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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