WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES NPI 1417947037

NPI Information

NPI: 1417947037
Provider Name: WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3640 COLONEL GLENN HWY
051 STUDENT UNION
DAYTON, OH
ZIP 45435
Phone: (937) 775-2552
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WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES is a family nurse practitioner in Dayton, OH. WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES NPI is 1417947037. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3640 COLONEL GLENN HWY
051 STUDENT UNION
DAYTON, OH
ZIP 45435
Phone: (937) 775-2552
Fax: (937) 775-2277

The provider's authorized official is Leatha Mae Ross .
The authorized official title is Director and has the following contact phone number (937) 775-2552.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 12/8/2014.

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	363LF0000X	Nurse Practitioner	Family	RN-238463	OHIO	No
2	363LF0000X	Nurse Practitioner	Family		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: 4/28/2024

NPI Synchronization or Removal

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