| NPI | 1346791712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE YOST Nurse Practitioner 937-643-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP 019661) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |