| NPI | 1922051697 |
|---|---|
| Doing Business As | GEROS PHYSICIAN EXTENDERS |
| Entity Type | Organization |
| Authorized Contact | DONNA S NIENABER Vice President 513-862-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP06244) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50001078) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-04-18 |