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NPI Code Detail

MEDICARE: NICOLE ABIGAIL CORTES WRIGHT

MEDICARE: NICOLE ABIGAIL CORTES WRIGHT
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
1374700000XTechnician

General Provider Information

NPI Number : 1013581107
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ABIGAIL CORTES WRIGHT
Provider Business Mailing Address
First Line : 2589 FERNVIEW CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1353
Country : US
Telephone Number : 513-806-6773
Fax Number :
Provider Business Practice Location Address
First Line : 2155 DANA AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1340
Country : US
Telephone Number : 513-601-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 05/13/2021

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Directions to “ NICOLE ABIGAIL CORTES WRIGHT ” Practice Location

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