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Individual

MRS. ZVISINEI DZEPASI MAMUTSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6527 COLERAIN AVE, CINCINNATI, OH 45239-5537
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1170831
KY
163W00000X
Registered Nurse
RN.336340
OH
363LG0600X
Gerontology Nurse Practitioner
3015759
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.022402
OH

Other

Enumeration date
07/08/2010
Last updated
10/02/2024
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