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NPI Code Detail

MEDICARE: MRS. GINA MARIE FARINACCI-NUGENT NP-C

MEDICARE: MRS. GINA MARIE FARINACCI-NUGENT NP-C
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 PractitionerRN235488OH
2363LA2200XAdult Health Nurse PractitionerRN235488OH

General Provider Information

NPI Number : 1497032916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA MARIE FARINACCI-NUGENT NP-C
Provider Business Mailing Address
First Line : 30791 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1835
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 30791 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1835
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2011
Last Update Date : 12/02/2016

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