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NPI Code Detail

MEDICARE: DAYSTAR FAMILY CARE LLC

MEDICARE: DAYSTAR FAMILY CARE LLC
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
1363LF0000XFamily Nurse Practitioner
2363LP2300XPrimary Care Nurse Practitioner
3261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1336032945
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYSTAR FAMILY CARE LLC
Provider Business Mailing Address
First Line : 453 SMILEY AVE
Second Line :
City : SPRINGDALE
State : OH
Zip : 45246-2217
Country : US
Telephone Number : 513-628-7111
Fax Number :
Provider Business Practice Location Address
First Line : 1102 W KEMPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1764
Country : US
Telephone Number : 513-429-3289
Fax Number : 513-928-7689
Authorized Official
Title or Position : C E O
Name : EDWIN OKOH OKAI
Credential :
Telephone Number : 513-628-7111
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/02/2025

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Directions to “DAYSTAR FAMILY CARE LLC ” Practice Location

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