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NPI Code Detail

MEDICARE: SUSAN RITA CIUFO CNP/APRN

MEDICARE: SUSAN RITA CIUFO CNP/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
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.15880OH

General Provider Information

NPI Number : 1568817948
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RITA CIUFO CNP/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 :
Provider Business Practice Location Address
First Line : 2210 S RIDGE RD E
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4459
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 02/06/2024

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