Independence Healthcare LLC
NPI #1699556746 in Buckeye Lake, Ohio
Provider Information
- NPI Number
- 1699556746
- Entity Type
- Organization
- Organization Name
- Independence Healthcare LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 12, 2023
- Last Updated
- Jul 5, 2024
Practice Location
- Address
- 4595 WALNUT RD STE L
- City
- Buckeye Lake
- State
- Ohio
- ZIP Code
- 43008-7909
- Phone
- (740) 822-0080
Authorized Official
- Name
- KHADIE MURIEL THOMAS, DNP, FNP-BC
- Title
- NURSE PRACTITIONER
- Phone
- (614) 893-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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