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NPI Code Detail

MEDICARE: ALICIA L PLYMALE CPNP

MEDICARE: ALICIA L PLYMALE CPNP
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
1363LP0200XPediatric Nurse PractitionerNP-08413OH

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 : 1295745727
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA L PLYMALE CPNP
Provider Business Mailing Address
First Line : 651 S LIMESTONE ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-1965
Country : US
Telephone Number : 937-324-1111
Fax Number : 937-322-3368
Provider Business Practice Location Address
First Line : 651 S LIMESTONE ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-1965
Country : US
Telephone Number : 937-324-1111
Fax Number : 937-322-3368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 07/08/2007

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Directions to “ ALICIA L PLYMALE CPNP” Practice Location

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