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NPI Code Detail

MEDICARE: OLYMPIA L PINTO

MEDICARE: OLYMPIA L PINTO
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 Practitioner333931NY
2363L00000XNurse Practitioner14116OH
3363L00000XNurse PractitionerSP009924PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154446060
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLYMPIA L PINTO
Provider Business Mailing Address
First Line : 2785 SOM CENTER RD
Second Line :
City : WILLOUGHBY HILLS
State : OH
Zip : 44094-6501
Country : US
Telephone Number : 440-602-8601
Fax Number :
Provider Business Practice Location Address
First Line : 2785 SOM CENTER RD
Second Line :
City : WILLOUGHBY HILLS
State : OH
Zip : 44094-6501
Country : US
Telephone Number : 440-602-8601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 05/06/2014

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Directions to “ OLYMPIA L PINTO ” Practice Location

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