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NPI Code Detail

MEDICARE: ANNE REMONDINO

MEDICARE:   ANNE  REMONDINO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1245968759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE REMONDINO
Provider Business Mailing Address
First Line : 1218 BELFORD AVE
Second Line :
City : NICHOLS HILLS
State : OK
Zip : 73116-6205
Country : US
Telephone Number : 405-990-4336
Fax Number :
Provider Business Practice Location Address
First Line : 9720 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-6315
Country : US
Telephone Number : 405-280-4576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 01/14/2025

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Directions to “ ANNE REMONDINO ” Practice Location

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