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General NPI Number Information
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NPI Number | 1932629680
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Entity Type | Organization
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Legal Business Name | PRIME HEALTH MEDICAL OFFICES LLC
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 4343 BRIGHTON LN
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City | WEST CHESTER
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State | OH
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Zip | 45069-9227
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Country | US
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Telephone | 513-510-0443
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 BRIGHTON LN
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City | WEST CHESTER
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State | OH
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Zip | 45069-9227
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Country | US
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Telephone | 513-510-0443
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Fax |
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Authorized Official
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Title or Position | APRN. CNP
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Name | MANINDER KAUR
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Credential |
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Telephone | 513-510-0443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.019916
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License Number State | OH
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