MEDICARE: MS. MARY ELIZABETH DIRUZZO NURSE PRACTITIONER

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
1	363LF0000X	Family Nurse Practitioner	0028540	OH

General Provider Information

NPI Number	:	1013596824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY ELIZABETH DIRUZZO NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	2750 NORWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2468
Country	:	US
Telephone Number	:	513-426-0314
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 NORWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2468
Country	:	US
Telephone Number	:	513-426-0314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	04/07/2021

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