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NPI Code Detail

MEDICARE: MR. ROBERT ALAN GILDONE JR. CNP

MEDICARE: MR. ROBERT ALAN GILDONE JR. CNP
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
1163W00000XRegistered NurseRN-241409OH
2363LA2200XAdult Health Nurse PractitionerAPRN.CNP.05170OH

General Provider Information

NPI Number : 1508967118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT ALAN GILDONE JR. CNP
Provider Business Mailing Address
First Line : 885 E BUCHTEL AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2338
Country : US
Telephone Number : 330-535-8116
Fax Number :
Provider Business Practice Location Address
First Line : 885 E BUCHTEL AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-2338
Country : US
Telephone Number : 330-535-8116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/06/2024

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