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ADVANCED PRACTICE PRIMARY CARE AT HOME NPI 1972059160


NPI Information

NPI: 1972059160
Provider Name: ADVANCED PRACTICE PRIMARY CARE AT HOME

Doing Business As: NO

Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

CLIA Number: 36D2129362

Address:
5209 SEVEN PINES DR
LORAIN, OH
ZIP 44053
Phone: (440) 371-1491
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ADVANCED PRACTICE PRIMARY CARE AT HOME is a family health clinical nurse specialist in Lorain, OH. ADVANCED PRACTICE PRIMARY CARE AT HOME NPI is 1972059160. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As No.

The provider's business location address is:

5209 SEVEN PINES DR
LORAIN, OH
ZIP 44053-315
Phone: (440) 371-1491

The provider's authorized official is Evangeline Garcia .
The authorized official title is Owner and has the following contact phone number (440) 371-1491.

The CLIA number assigned to this NPI record is 36D2129362 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 10/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SF0001XClinical Nurse SpecialistFamily HealthCOA.15775-NPOHIOYes

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

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