Doctor Name: | BETTY A GWINN |
NPI Number: | 1114076148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP-05751 |
Business Practice Address: | 440 Browns Ln Coshocton, OH - 438122044 |
Business Phone Number: | 7406220332 |
Business Fax Number: | 7406220335 |
Mailing Address: | 1200 S 16th St, COSHOCTON |
State: | OH |
Postal Code: | 438122754 |
Phone Number: | 7406226154 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | NP-05751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |