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NPI Code Detail

MEDICARE: ALISHA ANN LITTLE

MEDICARE:   ALISHA ANN LITTLE
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.366422OH

General Provider Information

NPI Number : 1568765790
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA ANN LITTLE
Provider Business Mailing Address
First Line : 710 NORTHLAND BLVD
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-3198
Country : US
Telephone Number : 513-824-0947
Fax Number :
Provider Business Practice Location Address
First Line : 710 NORTHLAND BLVD
Second Line : A
City : CINCINNATI
State : OH
Zip : 45240-3198
Country : US
Telephone Number : 513-824-0947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2010
Last Update Date : 12/09/2010

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Directions to “ ALISHA ANN LITTLE ” Practice Location

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