| NPI | 1215332192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KATHLEEN DOUGHTY Owner/ Nurse Pratitioner 740-553-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN288485COA1) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-01-13 |