1932458668 NPI number — MS. DENISE GABRIELLE DITRAGLIA LPN/RRT

Table of content: MS. DENISE GABRIELLE DITRAGLIA LPN/RRT (NPI 1932458668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932458668 NPI number — MS. DENISE GABRIELLE DITRAGLIA LPN/RRT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DITRAGLIA
Provider First Name:
DENISE
Provider Middle Name:
GABRIELLE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPN/RRT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932458668
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3008 ABBY WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-418-4796
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
151 WEST GAL BRAITH RD
Provider Second Line Business Practice Location Address:
DRAKE CENTER/U.C. HEALTH
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-418-4796
Provider Business Practice Location Address Fax Number:
513-418-2698
Provider Enumeration Date:
09/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  PN.138220-M-IV , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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