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NPI Code Detail

MEDICARE: MYEIA EDMERSON

MEDICARE:   MYEIA  EDMERSON
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
1251B00000XCase Management Agency
2251E00000XHome Health Agency
3174H00000XHealth Educator
4171M00000XCase Manager/Care Coordinator
5251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1447622766
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYEIA EDMERSON
Provider Business Mailing Address
First Line : 2867 ORLAND AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-8020
Country : US
Telephone Number : 513-546-8483
Fax Number :
Provider Business Practice Location Address
First Line : 2867 ORLAND AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-8020
Country : US
Telephone Number : 513-546-8483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 01/30/2026

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Directions to “ MYEIA EDMERSON ” Practice Location

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