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NPI Code Detail

MEDICARE: MEND HEALTH LLC

MEDICARE: MEND HEALTH LLC
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 Practitioner

General Provider Information

NPI Number : 1760240527
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEND HEALTH LLC
Provider Business Mailing Address
First Line : 1050 FORRER BLVD
Second Line :
City : KETTERING
State : OH
Zip : 45420-3640
Country : US
Telephone Number : 937-299-1111
Fax Number :
Provider Business Practice Location Address
First Line : 1050 FORRER BLVD
Second Line :
City : KETTERING
State : OH
Zip : 45420-3640
Country : US
Telephone Number : 937-299-1111
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AARON VALERIO
Credential :
Telephone Number : 937-894-1220
Provider Enumeration Date : 03/07/2024
Last Update Date : 02/11/2025

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Directions to “MEND HEALTH LLC ” Practice Location

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