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NPI Code Detail

MEDICARE: JOYCE FUGATE NP

MEDICARE: JOYCE FUGATE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP07653OH

General Provider Information

NPI Number : 1003847658
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE FUGATE NP
Provider Business Mailing Address
First Line : 7248 BERWOOD DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2142
Country : US
Telephone Number : 513-561-4553
Fax Number :
Provider Business Practice Location Address
First Line : 2915 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2402
Country : US
Telephone Number : 513-872-2000
Fax Number : 513-281-8842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/08/2007

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Directions to “ JOYCE FUGATE NP” Practice Location

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