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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN HOOVER NPC

MEDICARE: MRS. ELIZABETH ANN HOOVER NPC
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 PractitionerNP10161OH

General Provider Information

NPI Number : 1225286024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN HOOVER NPC
Provider Business Mailing Address
First Line : 1160 W BROAD ST
Second Line : LOWER LIGHTS CHRISTIAN HEALTH CENTER
City : COLUMBUS
State : OH
Zip : 43222
Country : US
Telephone Number : 614-274-1455
Fax Number : 614-274-1433
Provider Business Practice Location Address
First Line : 1160 W BROAD ST
Second Line : LOWER LIGHTS CHRISTIAN HEALTH CENTER
City : COLUMBUS
State : OH
Zip : 43222-1317
Country : US
Telephone Number : 614-274-1455
Fax Number : 614-274-1433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2008
Last Update Date : 07/28/2016

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Directions to “ MRS. ELIZABETH ANN HOOVER NPC” Practice Location

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