Somphet Took Manivong in Cleveland - Nurse Practitioner
Somphet Took Manivong - NPI 1811076953
Somphet Took Manivong is a Nurse Practitioner in Cleveland, Ohio. Somphet Took Manivong practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Somphet Took Manivong is 1811076953. The last update date is 2007-07-08.
Somphet Took Manivong's current location address is 10701 East Blvd, Cleveland, Ohio. You can contact this provider via phone number 2167913800 and fax number 2162313447. The mailing address for Somphet Took Manivong is 10701 East Blvd, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Somphet Took Manivong |
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Address | 10701 East Blvd, Cleveland, Ohio |
Phone Number | 2167913800 |
Fax Number | 2162313447 |
Sole Proprietor | N |
Credentials | CNP |
NPI Number Detail
NPI Number | 1811076953 |
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Provider Enumeration Date | 2006-11-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10701 East Blvd |
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City | Cleveland |
State | Ohio (OH) |
Post Code | 441061702 |
Phone Number | 2167913800 |
Fax Number | 2162313447 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | COA.08126-NP |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Somphet Took Manivong by the Centers for Medicare & Medicaid Services?
The Somphet Took Manivong has been issued the NPI (National Provider Identifier) 1811076953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Somphet Took Manivong is geographically located?
The Somphet Took Manivong is physically situated at the following location: 10701 East Blvd, Cleveland, OH, 441061702.
What is Somphet Took Manivong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Somphet Took Manivong is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811076953 to Somphet Took Manivong?
The Centers for Medicare & Medicaid Services assigned the 1811076953 to Somphet Took Manivong on 2006-11-02.
As of what date was the information regarding Somphet Took Manivong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Somphet Took Manivong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.