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NPI Code Detail

MEDICARE: DEBRA ANN PURVIS HEATON RN

MEDICARE: DEBRA ANN PURVIS HEATON 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
1363L00000XNurse PractitionerRN217044OH
2363L00000XNurse PractitionerCOA.03080-NPOH
3363LF0000XFamily Nurse PractitionerAPRN.CNP.03080OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP03080OTHEROHCNP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730234329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ANN PURVIS HEATON RN
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 : 01/24/2007
Last Update Date : 10/15/2024

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Directions to “ DEBRA ANN PURVIS HEATON RN” Practice Location

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