Countryside Acute Care LLC
NPI #1548974009 in South Vienna, Ohio
Provider Information
- NPI Number
- 1548974009
- Entity Type
- Organization
- Organization Name
- Countryside Acute Care LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 10, 2023
- Last Updated
- May 10, 2023
Practice Location
- Address
- MAIN ST
- City
- South Vienna
- State
- Ohio
- ZIP Code
- 45369
- Phone
- (937) 000-0000
Authorized Official
- Name
- MR. DERRICK MARPLE, FNP, RN, PARAMEDIC
- Title
- OWNER
- Phone
- (937) 605-9294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Pediatrics |
| Nurse Practitioner - Family — Family |
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