Doctor Name: | DONNA ABDELNOUR |
NPI Number: | 1811302698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 2013004849 |
Business Practice Address: | 5585 Liberty Pass Dr Liberty Twp, OH - 450448791 |
Business Phone Number: | 5132267954 |
Business Fax Number: | |
Mailing Address: | 5585 Liberty Pass Dr, LIBERTY TWP |
State: | OH |
Postal Code: | 450448791 |
Phone Number: | 5132267954 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2014 |
NPI Last Update Date: | 06/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 2013004849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |