Basic Information
| Provider Information | |||||||||
| NPI: | 1982663894 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAVIN | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | C.N.P | ||||||||
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| Mailing Information | |||||||||
| Address1: | RIDGE ST | ||||||||
| Address2: | |||||||||
| City: | BOWLING GREEN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434030001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193722271 | ||||||||
| FaxNumber: | 4193728010 | ||||||||
| Practice Location | |||||||||
| Address1: | RIDGE ST | ||||||||
| Address2: | |||||||||
| City: | BOWLING GREEN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434030001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193722271 | ||||||||
| FaxNumber: | 4193728010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | NP00276 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.