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NPI Code Detail

MEDICARE: ASHLEY CREMEANS RN

MEDICARE:   ASHLEY  CREMEANS  RN
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
2163WP0808XPsychiatric/Mental Health Registered NurseRN.541258OH

General Provider Information

NPI Number : 1508379744
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CREMEANS RN
Provider Business Mailing Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Provider Business Practice Location Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 10/31/2024

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