Tara Nickum, CNP

NPI #1659808558 in Batavia, Ohio

Provider Information

NPI Number
1659808558
Entity Type
Individual
Name
Tara Nickum, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
May 23, 2017
Last Updated
May 23, 2017

Practice Location

Address
2080 ERION RD
State
Ohio
ZIP Code
45103-8928
Phone
(513) 403-4497

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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