ACTS OF RANDOM KINDNESS OF MAHOGANY NPI 1346830411

NPI Information

NPI: 1346830411
Provider Name: ACTS OF RANDOM KINDNESS OF MAHOGANY
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
450 STOLLE DR
SPRINGBORO, OH
ZIP 45066
Phone: (937) 790-5550
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ACTS OF RANDOM KINDNESS OF MAHOGANY is a family nurse practitioner in Springboro, OH. ACTS OF RANDOM KINDNESS OF MAHOGANY NPI is 1346830411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 STOLLE DR
SPRINGBORO, OH
ZIP 45066-618
Phone: (937) 790-5550

The provider's authorized official is Rian Kyles-stewart .
The authorized official title is Owner and has the following contact phone number (937) 790-5550.

The enumeration date for this NPI number is 1/22/2021 and was last updated on 1/22/2021.

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			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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