Organization · Type 2 NPI

Abode Care Partners Al Vb, LLC

Nurse Practitioner · Mason, OH

NPI number 1104695550 Active

Practice location

5467 Cedar Village Dr
Mason, OH 45040-8693

Fax (855) 316-2999

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104695550

Abode Care Partners Al Vb, LLC's National Provider Identifier is 1104695550, issued on Dec 27, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mason, OH. The record was last updated on Jun 1, 2026.