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NPI Code Detail

MEDICARE: ANDREA BRUNACINI APRN

MEDICARE: ANDREA BRUNACINI APRN
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 PractitionerAPRN.CNP.023899OH

General Provider Information

NPI Number : 1538637731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA BRUNACINI APRN
Provider Business Mailing Address
First Line : 601 IVY GTWY STE 2100
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2052
Country : US
Telephone Number : 513-752-8000
Fax Number : 513-752-1078
Provider Business Practice Location Address
First Line : 601 IVY GTWY STE 2100
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2052
Country : US
Telephone Number : 513-752-8000
Fax Number : 513-752-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 03/28/2024

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