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NPI Code Detail

MEDICARE: MS. ANA JUSTINE POOL RN

MEDICARE: MS. ANA JUSTINE POOL 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
1163W00000XRegistered NurseRN.350820OH

General Provider Information

NPI Number : 1396303566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANA JUSTINE POOL RN
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 513-873-1269
Fax Number :
Provider Business Practice Location Address
First Line : 1012 E PERKINS AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-5070
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2019
Last Update Date : 10/13/2023

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