TERESA MUSTOVICH


Address: 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813
Phone: 9374344363

TERESA MUSTOVICH (NPI# 1063732949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063732949
Entity Type Individual
Full Name TERESA MUSTOVICH
Credential CNS
Practice Address 2222 Philadelphia Dr
Suite 4505
Dayton
OH 45406-1813
Practice Telephone 9374344363
Practice Fax Number 9377344181
Mailing Telephone 9374344363
Mailing Fax Number 9377344181
Enumeration Date 2010-06-02
Last Update Date 2013-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
COA11184NS OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 3090346 05

Office Location

Street Address 2222 PHILADELPHIA DR
SUITE 4505
City DAYTON
State OH
Zip Code 45406-1813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649266016 Babar Hasan Psychiatry & Neurology 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 2005-09-21
1124518295 Jonathan H Bachna Pharmacist 2222 Philadelphia Dr, Dayton, OH 45406-1813 2018-05-15
1174034870 David Charles Furlong Nurse Anesthetist, Certified Registered 2222 Philadelphia Dr, Dayton, OH 45406-1813 2017-10-20
1659896322 Stephanie Kathryn Hisey Clinical Nurse Specialist 2222 Philadelphia Dr, Dayton, OH 45406-1813 2017-08-03
1144740010 Amanda Rachele Adams Nurse Practitioner 2222 Philadelphia Dr, Dayton, OH 45406 2017-06-22
1811422926 Michele Madurski Audiologist 2222 Philadelphia Dr, Dayton, OH 45406-1813 2017-04-26
1205384062 Vera Arnold Nurse Practitioner 2222 Philadelphia Dr, Dayton, OH 45406 2016-09-21
1427501220 Melanie Elaine Garner Nurse Practitioner 2222 Philadelphia Dr, Dayton, OH 45406-1813 2016-07-27
1457713521 Good Samaritian Hospital Long Term Care Hospital 2222 Philadelphia Dr, Dayton, OH 45406-1813 2016-03-28
1316304777 Whitney Maryruth Knoop Nurse Practitioner 2222 Philadelphia Dr, Dayton, OH 45406-1813 2016-01-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942786595 Lawrence J Harper Jr. Counselor 1855 Kipling Dr, Dayton, OH 45406 2018-07-17
1114446937 James Lee Licensed Practical Nurse 1687 Wesleyan Rd., Dayton, OH 45406 2017-09-13
1497280762 Pam Taylor Licensed Practical Nurse 3339 Arlene Ave, Dayton, OH 45406 2017-04-25
1811428543 Kimberly Hawkins Licensed Practical Nurse 3660 Pittsburg Ave, Dayton, OH 45406 2017-03-24
1760839187 Micah Rejcek Student in an Organized Health Care Education/Training Program Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 2016-05-16
1134505233 Julia Ahrns Dietitian, Registered 2261 Philadelphia Dr., Dayton, OH 45406 2015-07-31
1215314125 Tracy Fong Family Medicine 2261 Philadelphia Drive, Dayton, OH 45406 2015-04-29
1518285337 Johwanna Martin Registered Nurse 2055 Ravenwood Ave, Dayton, OH 45406 2010-05-05
1003051913 Fawnette Thomas Social Worker 2116 University Place, Dayton, OH 45406 2008-12-05
1043478654 Mvhe Inc Hospitalist 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 2008-05-30
Find all providers in zip 45406

Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063626935 Cheryl Lynn Rawe Clinical Nurse Specialist 414 Amy Ct, Dayton, OH 45415-2101 2007-05-10
1467838896 Sharon Mechelle Lahm Clinical Nurse Specialist 1 Wyoming St, Dayton, OH 45409-2722 2015-08-07
1700274347 Young Un Kim Clinical Nurse Specialist 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 2015-01-06
1386040061 Staci Elaine Shields Clinical Nurse Specialist 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 2014-11-07
1285057588 John Sillman Clinical Nurse Specialist 324 Wilmington Ave, Dayton, OH 45420-1890 2014-01-23
1841631629 Julie Stachler Neff Clinical Nurse Specialist 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 2013-07-09
1588000103 Cynthia Louise Ballard Clinical Nurse Specialist 4100 W 3rd St, Dayton, OH 45428-9000 2013-05-22
1063753150 Gregory Sanchez Clinical Nurse Specialist 1 Wyoming St, Dayton, OH 45409-2722 2013-03-14
1144561903 Lisa Renee Meiring Clinical Nurse Specialist 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2013-03-04
1235403395 Sara D Krumlauf Clinical Nurse Specialist 1 Wyoming St, Ste. 4490, Dayton, OH 45409-2722 2012-03-06
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45406

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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