Family Wellness Primary Care
Family Medicine in Fairfield, OH. Organization (NPI-2).
NPI number1861255648
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1861255648
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Wellness Primary Care
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 3, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2822 Mack RdFairfield, OH 45014-5130
Phone 513-307-5798
Mailing address
10864 Pippin RdCincinnati, OH 45231-1546
Phone 513-307-5798
Authorized official
Anitra Marie Niece
Nurse Practitioner
5133075798
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