MEDICARE: MRS. SHARVA AMENA EL-AMIN

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
1	163W00000X	Registered Nurse	330516	OH

General Provider Information

NPI Number	:	1659533131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARVA AMENA EL-AMIN

Provider Business Mailing Address
First Line	:	2047 2ND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1803
Country	:	US
Telephone Number	:	513-542-1182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2047 2ND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1803
Country	:	US
Telephone Number	:	513-542-1182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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