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NPI Code Detail

MEDICARE: DARNIESHA AGEE

MEDICARE: DARNIESHA AGEE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1235956434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARNIESHA AGEE
Provider Business Mailing Address
First Line : 4614 PROSPECT AVE STE 223
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-4365
Country : US
Telephone Number : 216-502-8595
Fax Number :
Provider Business Practice Location Address
First Line : 4614 PROSPECT AVE STE 223
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-4365
Country : US
Telephone Number : 216-502-8595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2024
Last Update Date : 09/20/2024

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Directions to “ DARNIESHA AGEE ” Practice Location

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