=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366370751
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALMA L RESENDEZ RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/13/2026
-----------------------------------------------------
Last Update Date | 05/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 430 N BROADWAY ST
-----------------------------------------------------
City | GREEN SPRINGS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44836-9734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-534-3638
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 536 RAWSON AVE
-----------------------------------------------------
City | FREMONT
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43420-2129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-534-3638
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN520460
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------