MEDICARE: AUNAYSIA POELLNITZ

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	376K00000X	Nurse's Aide	602541780323	OH

General Provider Information

NPI Number	:	1841038619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUNAYSIA POELLNITZ

Provider Business Mailing Address
First Line	:	2477 CROSLEY MDW
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-3500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2477 CROSLEY MDW
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-3500
Country	:	US
Telephone Number	:	513-560-1207
Fax Number	:

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

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

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Directions to “ AUNAYSIA POELLNITZ ” Practice Location

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