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Kevin M Dirksen, APRN-CNP
Nurse Practitioner in Celina, Ohio
NPI 1053891168

Kevin M Dirksen is a Nurse Practitioner based in Saint Marys, OH. Kevin M Dirksen practices in Celina, OH and has the professional credentials of APRN-CNP. The NPI Number for Kevin M Dirksen is 1053891168 and holds a License No. APRN.CNP.023488 (Ohio).

The current practice location address for Kevin M Dirksen is 801 Pro Dr Ste D2, Celina, OH and can be reached out via phone at 419-586-6480 and via fax at 419-586-8574.

Location: 801 Pro Dr Ste D2, Celina, OH, 45885-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053891168
Provider Name
Kevin M Dirksen
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Male
Address
801 Pro Dr Ste D2, Celina, OH, 45885-2400
Phone Number
419-586-6480
Fax Number
419-586-8574
Provider Enumeration Date
08/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0105065 01 OH GROUP MEDICAID - JTDM FAMILY PRACTICE, LLC
0313733 05 OH
9934723 01 OH GROUP PTAN - JTDM FAMILY PRACTICE, LLC
H674260 01 OH MEDICARE
institution
Provider Business Practice Location Address Details
Address
801 Pro Dr Ste D2
City
Celina
State
Ohio
Zip
45822-3307
Phone Number
419-586-6480
Fax Number
419-586-8574
person
Provider Business Mailing Address Details
Address
801 Pro Dr Ste D2
City
Celina
State
Ohio
Zip
45822-3307
Phone Number
419-586-6480
Fax Number
419-586-8574
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN.CNP.023488 (Ohio)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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