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NPI Code Detail

MEDICARE: CAROLINE AYENIKA NFON RN

MEDICARE: CAROLINE AYENIKA NFON RN
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
1163WR0400XRehabilitation Registered Nurse416604OH

General Provider Information

NPI Number : 1245713023
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE AYENIKA NFON RN
Provider Business Mailing Address
First Line : 11 OLIN CT
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-6109
Country : US
Telephone Number : 208-571-0836
Fax Number :
Provider Business Practice Location Address
First Line : 2155 DANA AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1340
Country : US
Telephone Number : 513-601-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 09/07/2018

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