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NPI Code Detail

MEDICARE: EN'HANCE U LLC

MEDICARE: EN'HANCE U LLC
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 PractitionerCNP019414OH

Other Identifiers

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

General Provider Information

NPI Number : 1508358854
Entity Type Code : Organization
Provider Name (Legal Business Name) : EN'HANCE U LLC
Provider Business Mailing Address
First Line : 2895 HARDING HWY STE C
Second Line :
City : LIMA
State : OH
Zip : 45804-3464
Country : US
Telephone Number : 419-222-9828
Fax Number :
Provider Business Practice Location Address
First Line : 2895 HARDING HWY STE C
Second Line :
City : LIMA
State : OH
Zip : 45804-3464
Country : US
Telephone Number : 419-222-9828
Fax Number : 567-289-5037
Authorized Official
Title or Position : OWNER
Name : REWA A BANK
Credential : CNP
Telephone Number : 429-222-9828
Provider Enumeration Date : 06/02/2018
Last Update Date : 06/02/2018

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Directions to “EN'HANCE U LLC ” Practice Location

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