MEDICARE: LONDON HINDSMAN 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
1	164W00000X	Licensed Practical Nurse	LPN.160263.MEDS-IV	OH
2	163W00000X	Registered Nurse	529502	OH

General Provider Information

NPI Number	:	1588109409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONDON HINDSMAN RN

Provider Business Mailing Address
First Line	:	7058 E HAMILTON PL UNIT 914
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45069-2488
Country	:	US
Telephone Number	:	513-335-9120
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 ADDICE WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2701
Country	:	US
Telephone Number	:	513-335-9120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2017
Last Update Date	:	12/19/2023

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