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NPI Code Detail

MEDICARE: MS. LEONOR N. AGUILAR N.P.

MEDICARE: MS. LEONOR N. AGUILAR 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
1363L00000XNurse PractitionerCOA15269NPOH
2363L00000XNurse PractitionerN.P. 15826CA
3363LF0000XFamily Nurse Practitioner15269OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265583785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEONOR N. AGUILAR N.P.
Provider Business Mailing Address
First Line : 5981 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2211
Country : US
Telephone Number : 323-428-4240
Fax Number :
Provider Business Practice Location Address
First Line : 5981 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2211
Country : US
Telephone Number : 937-428-6702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 11/16/2020

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