MANGA FOMBUH TITA NPI 1043740459

NPI Information

NPI: 1043740459
Provider Name: MANGA FOMBUH TITA
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
8194 COLYN CT
LIBERTY TOWNSHIP, OH
ZIP 45044
Phone: (513) 237-0119
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Manga Fombuh Tita is an administrator registered nurse in Liberty Township, OH. Manga Fombuh Tita NPI is 1043740459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8194 COLYN CT
LIBERTY TOWNSHIP, OH
ZIP 45044-752
Phone: (513) 237-0119

The enumeration date for this NPI number is 6/18/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		355688	OHIO	No
2	163WG0600X	Registered Nurse	Gerontology	355688	OHIO	No
3	163WH0200X	Registered Nurse	Home Health	355688	OHIO	No
4	163WA2000X	Registered Nurse	Administrator	355688	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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