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NPI Code Detail

MEDICARE: DR. VINCENT COLLIN NEALEY DNP

MEDICARE: DR. VINCENT COLLIN NEALEY DNP
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
1163W00000XRegistered NurseRN.395460OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.0031667OH

General Provider Information

NPI Number : 1124748843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT COLLIN NEALEY DNP
Provider Business Mailing Address
First Line : 2121 ALPINE PL APT 303
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2691
Country : US
Telephone Number : 513-702-2065
Fax Number :
Provider Business Practice Location Address
First Line : CLINIC #7790
Second Line : 947 CINCINNATI BATAVIA PIKE
City : CINCINNATI
State : OH
Zip : 45245-1303
Country : US
Telephone Number : 513-943-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/01/2022

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