Doctor Name: | JAIME ADLETA |
NPI Number: | 1093110819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | COA.16897-NP |
Business Practice Address: | 8701 Old Troy Pike Suite 10 Huber Heights, OH - 454241066 |
Business Phone Number: | 9372375294 |
Business Fax Number: | |
Mailing Address: | 2912 Springboro Rd, Suite 201 MORAINE |
State: | OH |
Postal Code: | 454391674 |
Phone Number: | 9372978999 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.16897-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |