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NPI Code Detail

MEDICARE: OHI AMOGU APRN

MEDICARE: OHI AMOGU 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 PractitionerAP140267TX

General Provider Information

NPI Number : 1558827444
Entity Type Code : Individual
Provider Name (Legal Business Name) : OHI AMOGU APRN
Provider Business Mailing Address
First Line : PO BOX 360541
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6541
Country : US
Telephone Number : 972-525-9900
Fax Number : 469-333-7988
Provider Business Practice Location Address
First Line : 2401 W LEDBETTER DR STE 120
Second Line :
City : DALLAS
State : TX
Zip : 75233-4015
Country : US
Telephone Number : 972-525-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2019
Last Update Date : 11/09/2023

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