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NPI Code Detail

MEDICARE: MS. DANETTE RENEE BIRKHIMER RN, MS, CNS, OCN

MEDICARE: MS. DANETTE RENEE BIRKHIMER RN, MS, CNS, OCN
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
1163W00000XRegistered NurseRN203911OH
2364SX0200XOncology Clinical Nurse SpecialistCOA.06267-NSOH

General Provider Information

NPI Number : 1255642583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANETTE RENEE BIRKHIMER RN, MS, CNS, OCN
Provider Business Mailing Address
First Line : 300 W 10TH AVE
Second Line : RM 1024 JAMES
City : COLUMBUS
State : OH
Zip : 43210-1280
Country : US
Telephone Number : 614-293-2897
Fax Number : 614-293-6037
Provider Business Practice Location Address
First Line : 300 W 10TH AVE
Second Line : RM 1024 JAMES
City : COLUMBUS
State : OH
Zip : 43210-1280
Country : US
Telephone Number : 614-293-2897
Fax Number : 614-293-6037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 07/01/2010

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