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NPI Code Detail

MEDICARE: STANLEY NDINDA RN-BSN

MEDICARE:   STANLEY  NDINDA  RN-BSN
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
1163WG0000XGeneral Practice Registered NurseRN346591OH

General Provider Information

NPI Number : 1669057667
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY NDINDA RN-BSN
Provider Business Mailing Address
First Line : 2057 HARRISON DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44143-1359
Country : US
Telephone Number : 216-347-1245
Fax Number :
Provider Business Practice Location Address
First Line : 2057 HARRISON DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44143-1359
Country : US
Telephone Number : 216-347-1245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2021
Last Update Date : 03/11/2021

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Directions to “ STANLEY NDINDA RN-BSN” Practice Location

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