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NPI Code Detail

MEDICARE: MARIA A. HUSSEY ARNP

MEDICARE: MARIA A. HUSSEY ARNP
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse1042624KY
2163WP0809XAdult Psychiatric/Mental Health Registered Nurse134450OH
3363L00000XNurse Practitioner3001042KY
4363LP0808XPsychiatric/Mental Health Nurse Practitioner3001042KY
5363LP0808XPsychiatric/Mental Health Nurse Practitioner00298OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1030214000OTHERKYMAGELLAN
29123179OTHERKYPHCS
3065803OTHERKYVALUE OPTIONS
41195124OTHERKYCHA HEALTH
5000000041040OTHERKYANTHEM
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962452169
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA A. HUSSEY ARNP
Provider Business Mailing Address
First Line : 5209 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2224
Country : US
Telephone Number : 216-651-2037
Fax Number :
Provider Business Practice Location Address
First Line : 5209 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2224
Country : US
Telephone Number : 216-651-2037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 04/23/2018

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Directions to “ MARIA A. HUSSEY ARNP” Practice Location

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