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Individual

ANDREW S GUINIGUNDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
4350 MALSBARY RD, CINCINNATI, OH 45242-5621
(513) 751-2273
(513) 792-5844
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2273
(513) 751-2138

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN260103
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
06512-NP
OH
363LA2200X
Adult Health Nurse Practitioner
3003467
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201132050
IN
05
2279289
OH
01
500019634
MEDICARE RAILROAD
OH
01
500019639
MEDICARE RAILROAD
KY
05
78006962
KY
Enumeration date
04/19/2006
Last updated
04/22/2021
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