MEDICARE: AIMEE NKWINJA FINJAP

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	APRN.CNP.0033663	OH

General Provider Information

NPI Number	:	1104512847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE NKWINJA FINJAP

Provider Business Mailing Address
First Line	:	6760 TUSSING RD STE 104
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-4136
Country	:	US
Telephone Number	:	614-626-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6760 TUSSING RD STE 104
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-4136
Country	:	US
Telephone Number	:	614-626-6000
Fax Number	:

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

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	06/07/2024

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