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NPI Code Detail

MEDICARE: MISS ALLISON N. FAY APRN-CNP

MEDICARE: MISS ALLISON N. FAY APRN-CNP
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 PractitionerAPRN.CNP.0037438OH

General Provider Information

NPI Number : 1518787522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON N. FAY APRN-CNP
Provider Business Mailing Address
First Line : 61 DARST RD
Second Line :
City : DAYTON
State : OH
Zip : 45440-3407
Country : US
Telephone Number : 937-424-3589
Fax Number :
Provider Business Practice Location Address
First Line : 61 DARST RD
Second Line :
City : DAYTON
State : OH
Zip : 45440-3407
Country : US
Telephone Number : 937-424-3589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 06/10/2025

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