NPI | 1033438338 |
---|---|
Former Name | ANDREA LYNN ORBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.11569) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.11569) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2022-02-25 |