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NPI Code Detail

MEDICARE: PATRICIA OGDEN RN MSN NPC

MEDICARE: PATRICIA OGDEN RN MSN NPC
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
1363L00000XNurse Practitioner71013467IN
2363L00000XNurse Practitioner309003074IL

General Provider Information

NPI Number : 1700925138
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA OGDEN RN MSN NPC
Provider Business Mailing Address
First Line : 1313 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1313 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3316
Country : US
Telephone Number : 219-354-8910
Fax Number : 219-398-9695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 02/12/2024

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