Healthcare Provider Details

I. General information

NPI: 1336327162
Provider Name (Legal Business Name): DAVID PRAZYNSKI CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9775 COLERAIN AVE
CINCINNATI OH
45251
US

IV. Provider business mailing address

161 WASHINGTON ST FL 14 EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN PA
19428-2083
US

V. Phone/Fax

Practice location:
  • Phone: 866-825-3227
  • Fax:
Mailing address:
  • Phone: 866-825-3227
  • Fax: 484-351-3800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-09866
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: