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NPI Code Detail

MEDICARE: MR. FERNANDO XAVIER RICO-ALARCON RN

MEDICARE:  MR. FERNANDO XAVIER RICO-ALARCON  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
1163WS0200XSchool Registered Nurse440146OH

General Provider Information

NPI Number : 1598289753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FERNANDO XAVIER RICO-ALARCON RN
Provider Business Mailing Address
First Line : 1245 BEN AVON
Second Line :
City : BATAVIA
State : OH
Zip : 45103-1161
Country : US
Telephone Number : 513-504-6679
Fax Number :
Provider Business Practice Location Address
First Line : 1702 GRAND AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45214-1502
Country : US
Telephone Number : 513-363-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 07/31/2017

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Directions to “ MR. FERNANDO XAVIER RICO-ALARCON RN” Practice Location

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