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NPI Code Detail

MEDICARE: MRS. LAURA KATHERINE BANGE N.P.

MEDICARE: MRS. LAURA KATHERINE BANGE N.P.
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.14450OH

General Provider Information

NPI Number : 1073944724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA KATHERINE BANGE N.P.
Provider Business Mailing Address
First Line : 4310 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5613
Country : US
Telephone Number : 513-246-9799
Fax Number : 513-246-9456
Provider Business Practice Location Address
First Line : 4310 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5613
Country : US
Telephone Number : 513-246-9799
Fax Number : 513-246-9456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2013
Last Update Date : 12/05/2025

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