Healthcare Provider Details

I. General information

NPI: 1295114809
Provider Name (Legal Business Name): NP MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 MEDINA RD STE# 310
MEDINA OH
44256-9311
US

IV. Provider business mailing address

3780 MEDINA RD STE# 310
MEDINA OH
44256-9311
US

V. Phone/Fax

Practice location:
  • Phone: 330-952-1382
  • Fax:
Mailing address:
  • Phone: 330-952-1382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberCOA.06636-NP
License Number StateOH

VIII. Authorized Official

Name: MACHELLE GIORDON
Title or Position: CREDETNIALING
Credential:
Phone: 330-723-2111