Doctor Name: | NATHAN ANDREW ROSS |
NPI Number: | 1114302502 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | COA.17398-NP |
Business Practice Address: | 1204 N Court St Circleville, OH - 431131000 |
Business Phone Number: | 7404974693 |
Business Fax Number: | |
Mailing Address: | 114 Madison Ave, PIKETON |
State: | OH |
Postal Code: | 456618073 |
Phone Number: | 7409779050 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.17398-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: |