MEDICARE: NANCEE ALBRIGHT N.P.

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	363LA2200X	Adult Health Nurse Practitioner	177574-COA1	OH
2	363L00000X	Nurse Practitioner	COA13197NP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	COA13197NP	OTHER	OH	OHIO LICENSE NP
3	RN177574COA1	OTHER	OH	OH MEDICAL RN

General Provider Information

NPI Number	:	1225395270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCEE ALBRIGHT N.P.

Provider Business Mailing Address
First Line	:	2110 LEITER RD
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-3660
Country	:	US
Telephone Number	:	937-914-7067
Fax Number	:	937-522-7513

Provider Business Practice Location Address
First Line	:	7700 WASHINGTON VILLAGE DR
Second Line	:	SUITE 210
City	:	DAYTON
State	:	OH
Zip	:	45459-4094
Country	:	US
Telephone Number	:	937-433-6513
Fax Number	:

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

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	09/17/2013

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Directions to “ NANCEE ALBRIGHT N.P.” Practice Location

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