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NPI Code Detail

MEDICARE: EDWARD THOMAS FLOTTMAN FNP

MEDICARE:   EDWARD THOMAS FLOTTMAN  FNP
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
1363LF0000XFamily Nurse Practitioner200095VI
2363LP2300XPrimary Care Nurse Practitioner0039817OH

General Provider Information

NPI Number : 1881476273
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD THOMAS FLOTTMAN FNP
Provider Business Mailing Address
First Line : 6769 LITTLE RIVER LN
Second Line :
City : LOVELAND
State : OH
Zip : 45140-6123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9048 SUGAR EST
Second Line :
City : ST THOMAS
State : VI
Zip : 00802-3634
Country : US
Telephone Number : 340-776-8311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2023
Last Update Date : 01/12/2026

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Directions to “ EDWARD THOMAS FLOTTMAN FNP” Practice Location

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