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NPI Code Detail

MEDICARE: REAGAN WULFEKOTTER

MEDICARE:   REAGAN  WULFEKOTTER
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 Practitioner0042337OH

General Provider Information

NPI Number : 1932910544
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN WULFEKOTTER
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-2009
Fax Number : 513-803-4438
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-2009
Fax Number : 513-803-4438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2025
Last Update Date : 06/09/2026

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Directions to “ REAGAN WULFEKOTTER ” Practice Location

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