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NPI Code Detail

MEDICARE: ROXANNE J HUSTON

MEDICARE: ROXANNE J HUSTON
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistRN183518OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15877559OTHEROHAETNA

General Provider Information

NPI Number : 1033199823
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNE J HUSTON
Provider Business Mailing Address
First Line : 43 E MAIN ST
Second Line :
City : AMELIA
State : OH
Zip : 45102-1993
Country : US
Telephone Number : 513-947-7000
Fax Number : 513-947-7222
Provider Business Practice Location Address
First Line : 43 E MAIN ST
Second Line :
City : AMELIA
State : OH
Zip : 45102-1993
Country : US
Telephone Number : 513-947-7000
Fax Number : 513-947-7222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 02/26/2008

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