Organization
AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J FLINDERS MSN, RN, FNP-BC (NURSE PRACTITIONER)
(740) 357-4503
Entity
Organization
Contact information
Practice address
1834 OAKLAND AVE, PORTSMOUTH, OH 45662-2934
(740) 244-8266
Mailing address
1834 OAKLAND AVE, PORTSMOUTH, OH 45662-9310
(740) 244-8266
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
COA 14765-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089230
—
OH
Enumeration date
11/18/2015
Last updated
11/18/2015
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