Michelle M Bandurka in Tallmadge - Family
Michelle M Bandurka - NPI 1619093366
Michelle M Bandurka is a Family in Tallmadge, Ohio. Michelle M Bandurka practices all healthcare services and medical treatments related to Family. The NPI Number for Michelle M Bandurka is 1619093366. The last update date is 2022-07-21.
Michelle M Bandurka's current location address is 116 East Ave, Tallmadge, Ohio. You can contact this provider via phone number 3306337782 and fax number 3306334701. The mailing address for Michelle M Bandurka is 116 East Ave, Tallmadge, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle M Bandurka |
|---|---|
| Address | 116 East Ave, Tallmadge, Ohio |
| Phone Number | 3306337782 |
| Fax Number | 3306334701 |
| Sole Proprietor | Y |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1619093366 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 116 East Ave |
|---|---|
| City | Tallmadge |
| State | Ohio (OH) |
| Post Code | 442782300 |
| Phone Number | 3306337782 |
| Fax Number | 3306334701 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 11114-COA |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3012797 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle M Bandurka by the Centers for Medicare & Medicaid Services?
The Michelle M Bandurka has been assigned the NPI (National Provider Identifier) 1619093366. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michelle M Bandurka is physically located?
The Michelle M Bandurka is physically situated at the following address: 116 East Ave, Tallmadge, OH, 442782300.
What is the Michelle M Bandurka's specialty and taxonomy code?
The Michelle M Bandurka's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Michelle M Bandurka receive its 1619093366 assignment from the Centers for Medicare & Medicaid Services?
The Michelle M Bandurka was assigned its 1619093366 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information pertaining to Michelle M Bandurka most recently updated or revised?
The details related to Michelle M Bandurka, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.