PRETTY MOMENTS BOUTIQUE CARE LLC NPI 1922788041

NPI Information

NPI: 1922788041
Provider Name: PRETTY MOMENTS BOUTIQUE CARE LLC
Classification: Mastectomy Fitter - 224900000X
Entity Type: Organization
Address:
10979 REED HARTMAN HWY STE 227
BLUE ASH, OH
ZIP 45242
Phone: (513) 223-1295
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PRETTY MOMENTS BOUTIQUE CARE LLC is a mastectomy fitter in Blue Ash, OH. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. PRETTY MOMENTS BOUTIQUE CARE LLC NPI is 1922788041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10979 REED HARTMAN HWY STE 227
BLUE ASH, OH
ZIP 45242-882
Phone: (513) 223-1295

The provider's authorized official is Lashaunda Delores Vaughn .
The authorized official title is Founder and has the following contact phone number (513) 223-1295.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 7/24/2023.

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	224900000X	Mastectomy Fitter				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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