Kelsey Scuderi
Nurse Practitioner - Gerontology
725 University Blvd
Dayton
, Ohio 45435-0001
Kelsey Scuderi
Nurse Practitioner - Gerontology
725 University Blvd
Dayton
, Ohio 45435-0001
(937) 245-7999
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kelsey Scuderi
- 725 University Blvd
- Dayton, OH
- Zip : 45435-0001
- Fax : (937) 245-7999
- Phone : (937) 245-7100
Second Address
- Kelsey Scuderi
- 725 University Blvd
- Dayton, OH
- Zip : 45435-0001
- Fax : (937) 245-7922
- Phone : (937) 245-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | COA.17680-NP | OH |
National Provider Identifier
| NPI | 1023481108 |
|---|---|
| Provider Name | Kelsey Scuderi |
| First Address | Dayton, OH 45435-0001 |
| Second Address | Dayton, OH 45435-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2015 |
| Last Update Date | 31/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.