MARYJANE NP INC NPI 1538712393

NPI Information

NPI: 1538712393
Provider Name: MARYJANE NP INC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3830 WOODRIDGE BLVD STE C
FAIRFIELD, OH
ZIP 45014
Phone: (702) 907-2733
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MARYJANE NP INC is a pain clinic center in Fairfield, OH. MARYJANE NP INC NPI is 1538712393. The provider is registered as an organization entity type.

The provider's business location address is:

3830 WOODRIDGE BLVD STE C
FAIRFIELD, OH
ZIP 45014-564
Phone: (702) 907-2733

The provider's authorized official is Evonne B Stephenson .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (513) 677-8855.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 7/22/2019.

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	261QP3300X	Clinic/Center	Pain			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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