GOLDEN YEARS NURSE PRACTITIONER SERVICES LLC NPI 1326280777

NPI Information

NPI: 1326280777
Provider Name: GOLDEN YEARS NURSE PRACTITIONER SERVICES LLC
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
3107 LOVERS LN
RAVENNA, OH
ZIP 44266
Phone: (330) 389-1449
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GOLDEN YEARS NURSE PRACTITIONER SERVICES LLC is a general practice registered nurse in Ravenna, OH. GOLDEN YEARS NURSE PRACTITIONER SERVICES LLC NPI is 1326280777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3107 LOVERS LN
RAVENNA, OH
ZIP 44266-930
Phone: (330) 389-1449

The provider's authorized official is Sheridan R Hull .
The authorized official title is President and has the following contact phone number (330) 389-1449.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/4/2012.

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	163WG0000X	Registered Nurse	General Practice			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	9382921	MEDICARE PIN	OHIO
2	2947744	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: 4/28/2024

NPI Synchronization or Removal

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