Organization
PRIME HEALTH MEDICAL OFFICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANINDER KAUR (APRN. CNP)
(513) 510-0443
Entity
Organization
Contact information
Practice address
4343 BRIGHTON LN, WEST CHESTER, OH 45069-9227
(513) 510-0443
Mailing address
4343 BRIGHTON LN, WEST CHESTER, OH 45069-9227
(513) 510-0443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659798031
INDIVIDUAL NPI
—
01
—
APRN.CNP.019916
CERTIFICATE OF AUTHORITY
OH
Enumeration date
06/23/2017
Last updated
09/16/2020
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