Provider Demographics
NPI:1144204892
Name:NESTOR, ANNE K (MD)
Entity Type:Individual
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First Name:ANNE
Middle Name:K
Last Name:NESTOR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3590 BUSENBARK RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-9552
Mailing Address - Country:US
Mailing Address - Phone:513-988-6369
Mailing Address - Fax:513-988-9369
Practice Address - Street 1:3590 BUSENBARK RD
Practice Address - Street 2:SUITE 400
Practice Address - City:TRENTON
Practice Address - State:OH
Practice Address - Zip Code:45067-9552
Practice Address - Country:US
Practice Address - Phone:513-988-6369
Practice Address - Fax:513-988-9369
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2015-07-22
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Provider Licenses
StateLicense IDTaxonomies
OH35061958N207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00880257Medicaid
F30249Medicare UPIN
OHH330760Medicare PIN