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NPI Code Detail

MEDICARE: KRISTI FYFFE

MEDICARE:   KRISTI  FYFFE
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
1164W00000XLicensed Practical NursePN100169OH

General Provider Information

NPI Number : 1891108833
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI FYFFE
Provider Business Mailing Address
First Line : 2720 MOUNT TABOR RD
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9162
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2720 MOUNT TABOR RD
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9162
Country : US
Telephone Number : 740-663-4323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2014
Last Update Date : 06/06/2014

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Directions to “ KRISTI FYFFE ” Practice Location

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