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NPI Code Detail

MEDICARE: ANDREA ALBRIGHT

MEDICARE: ANDREA ALBRIGHT
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
1163W00000XRegistered NurseRN378113OH

General Provider Information

NPI Number : 1730659525
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ALBRIGHT
Provider Business Mailing Address
First Line : 54781 PRETTY RUN RD
Second Line :
City : SOUTH BLOOMINGVILLE
State : OH
Zip : 43152-9513
Country : US
Telephone Number : 740-649-3202
Fax Number :
Provider Business Practice Location Address
First Line : 765 PIERCE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-2425
Country : US
Telephone Number : 614-233-1650
Fax Number : 888-679-9808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2018
Last Update Date : 12/05/2018

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Directions to “ ANDREA ALBRIGHT ” Practice Location

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