TERESA MUSTOVICH CNS NPI 1063732949

NPI Information

NPI: 1063732949
Provider Name: TERESA MUSTOVICH, CNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2222 PHILADELPHIA DR
SUITE 4505
DAYTON, OH
ZIP 45406
Phone: (937) 434-4363
Get Directions

Teresa Mustovich, CNS is an adult health clinical nurse specialist in Dayton, OH. Teresa Mustovich, CNS NPI is 1063732949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 PHILADELPHIA DR
SUITE 4505
DAYTON, OH
ZIP 45406-813
Phone: (937) 434-4363
Fax: (937) 734-4181

The NPI 1063732949 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 12/18/2013.

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	364SA2200X	Clinical Nurse Specialist	Adult Health	COA11184NS	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H092060	MEDICARE PIN	OHIO
2	3090346	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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