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NPI Code Detail

MEDICARE: MRS. ANGELA MARIE POLLITT FNP-C

MEDICARE: MRS. ANGELA MARIE POLLITT FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN.319113OH

General Provider Information

NPI Number : 1033598222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA MARIE POLLITT FNP-C
Provider Business Mailing Address
First Line : 6620 CLOUGH PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-4053
Country : US
Telephone Number : 513-564-1640
Fax Number : 513-564-1637
Provider Business Practice Location Address
First Line : 6620 CLOUGH PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-4053
Country : US
Telephone Number : 513-564-1640
Fax Number : 513-564-1637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2015
Last Update Date : 02/10/2017

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