MEDICARE: BHAVI PATEL APRN

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
1	363L00000X	Nurse Practitioner	RN2331306	MA
2	363LF0000X	Family Nurse Practitioner	RN2331306	MA

General Provider Information

NPI Number	:	1487279303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVI PATEL APRN

Provider Business Mailing Address
First Line	:	4600 MONTGOMERY RD STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2600
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:	866-460-2997

Provider Business Practice Location Address
First Line	:	290 MERRIMACK ST STE 106
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1783
Country	:	US
Telephone Number	:	339-368-7696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2020
Last Update Date	:	04/10/2024

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Directions to “ BHAVI PATEL APRN” Practice Location

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