NPIRadar

Mallory Bain Valid NPI

Individual provider · Gerontology Nurse Practitioner · Cincinnati, OH

NPI
1851765127
Type
Individual (Type 1)
Primary specialty
Gerontology Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LG0600X
License number
AG1015153 (OH)
Sex
Female
Sole proprietor
Yes
Enumerated
2015-11-23
Last updated
2018-03-12
Practice location
234 Goodman St
Cincinnati, OH 45219-2364
(513) 475-8787

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