Healthcare Provider Details

I. General information

NPI: 1225395270
Provider Name (Legal Business Name): NANCEE ALBRIGHT N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 WASHINGTON VILLAGE DR SUITE 210
DAYTON OH
45459-4094
US

IV. Provider business mailing address

2110 LEITER RD
MIAMISBURG OH
45342-3660
US

V. Phone/Fax

Practice location:
  • Phone: 937-433-6513
  • Fax:
Mailing address:
  • Phone: 937-914-7067
  • Fax: 937-522-7513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA13197NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number177574-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: