Basic Information
| Provider Information | |||||||||
| NPI: | 1689298119 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NP INSIGHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4996 PIGEON RUN RD SW | ||||||||
| Address2: | |||||||||
| City: | NAVARRE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446628123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303619089 | ||||||||
| FaxNumber: | 8596558588 | ||||||||
| Practice Location | |||||||||
| Address1: | 4996 PIGEON RUN RD SW | ||||||||
| Address2: | |||||||||
| City: | NAVARRE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446628123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303619089 | ||||||||
| FaxNumber: | 8596558588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2020 | ||||||||
| LastUpdateDate: | 06/01/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROSSETTI | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3303619089 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
| NPICertificationDate: | 06/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.