Individual
PIERRE CELESTIN NKURUNZIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 762-1306
(937) 522-7626
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA. 16429-NP
OH
363LA2200X
Adult Health Nurse Practitioner
RN332681
OH
363LG0600X
Gerontology Nurse Practitioner
RN332681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110691
—
OH
Enumeration date
07/29/2014
Last updated
01/07/2021
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