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NPI Code Detail

MEDICARE: AMY RIOS RN

MEDICARE: AMY RIOS RN
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
1163WP2201XAmbulatory Care Registered NurseRN327730OH

General Provider Information

NPI Number : 1578921854
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY RIOS RN
Provider Business Mailing Address
First Line : 2261 PHILADELPHIA DR
Second Line : SUITE 200
City : DAYTON
State : OH
Zip : 45406-1814
Country : US
Telephone Number : 937-734-4141
Fax Number : 937-277-7249
Provider Business Practice Location Address
First Line : 2261 PHILADELPHIA DR
Second Line : SUITE 200
City : DAYTON
State : OH
Zip : 45406-1814
Country : US
Telephone Number : 937-734-4141
Fax Number : 937-277-7249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2016
Last Update Date : 02/02/2016

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