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NPI Code Detail

MEDICARE: STEPHANIE LYNNE CALHOUN FNP-C

MEDICARE: STEPHANIE LYNNE CALHOUN FNP-C
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 PractitionerCOA.18490-NPOH

General Provider Information

NPI Number : 1346608601
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LYNNE CALHOUN FNP-C
Provider Business Mailing Address
First Line : 4605 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2607
Country : US
Telephone Number : 513-731-0062
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2607
Country : US
Telephone Number : 513-731-0062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2016
Last Update Date : 02/02/2016

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