ABUNDANT LIFE 180 NPI 1003790031

NPI Information

  • NPI: 1003790031
  • Provider Name: ABUNDANT LIFE 180
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 12271 CENTER DR
    ORIENT, OH
    ZIP 43146
  • Phone: (220) 263-6047

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NPI Details

ABUNDANT LIFE 180 is a psychiatric/mental health nurse practitioner in Orient, OH. ABUNDANT LIFE 180 NPI is 1003790031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12271 CENTER DR
ORIENT, OH
ZIP 43146-120
Phone: (220) 263-6047

The provider's authorized official is Angela Ruth Corbett .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (220) 263-6047.

The enumeration date for this NPI number is 8/4/2025 and was last updated on 8/8/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

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