Doctor Name: | RAJENE GERETTE FOX |
NPI Number: | 1225401623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | COA.18364-NP |
Business Practice Address: | 311 S 15th St Suite 202 Coshocton, OH - 438121873 |
Business Phone Number: | 7402953328 |
Business Fax Number: | |
Mailing Address: | Po Box 1450, COSHOCTON |
State: | OH |
Postal Code: | 438126450 |
Phone Number: | 7402020936 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.18364-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: |