| Doctor Name: | CONNIE MARIE OEN |
| NPI Number: | 1578738712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | COA.10025-NP |
| Business Practice Address: | 106 N Main St New Carlisle, OH - 453441835 |
| Business Phone Number: | 9376671122 |
| Business Fax Number: | 4192258878 |
| Mailing Address: | 329 N West St, 2nd Floor LIMA |
| State: | OH |
| Postal Code: | 458014332 |
| Phone Number: | 4192213072 |
| Fax Number: | 4195495670 |
| NPI Enumeration Date: | 04/29/2008 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.10025-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: | |