Unknown Individual – Administrator Registered Nurse, NPI 1154079812
Administrator Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
6726 COLONIAL CT
COLUMBUS, OH 432291431
Phone:
Type: Mailing
51380 AVENIDA RUBIO
LA QUINTA, CA 922533789
Phone: (669) 696-5073
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43229)
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