institution
Galahadd's Quest Llc
Family Nurse Practitioner in Lima, Ohio
NPI 1720378128

Galahadd's Quest Llc is a Family Nurse Practitioner based in Lima, OH and is specialized in Family. Galahadd's Quest Llc practices in Lima, OH. The NPI Number for Galahadd's Quest Llc is 1720378128 and holds a License No. COA10079-NP (Ohio).

The current practice location address for Galahadd's Quest Llc is 2440 Baton Rouge, Lima, OH and can be reached out via phone at 419-331-2273 and via fax at 419-331-4274.

Location: 2440 Baton Rouge, Lima, OH, 45805-5104
institution
Provider Profile Details
NPI Number
1720378128
Provider Name
Galahadd's Quest Llc
Credential
Provider Entity Type
Organization
Address
2440 Baton Rouge, Lima, OH, 45805-5104
Phone Number
419-331-2273
Fax Number
419-331-4274
Provider Enumeration Date
04/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0B51149 01 OH BCBS-OH
A503JREICHART:80561 01 PERSE ESN
6268010001 01 MEDICARE DME
H006310 01 MEDICARE PTAN
0B51149 05 OH
institution
Provider Business Practice Location Address Details
Address
2440 Baton Rouge
City
State
Zip
45805-5104
Phone Number
419-331-2273
Fax Number
419-331-4274
person
Provider Business Mailing Address Details
Address
2440 Baton Rouge
City
State
Zip
45805-5104
Phone Number
419-331-2273
Fax Number
419-331-4274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
COA10079-NP (Ohio)
Definition
Definition to come...
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