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NPI Code Detail

MEDICARE: BRIANNA SMITH LPN

MEDICARE: BRIANNA SMITH LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse185891OH

General Provider Information

NPI Number : 1003769605
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA SMITH LPN
Provider Business Mailing Address
First Line : 11401 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11401 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5428
Country : US
Telephone Number : 216-416-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ BRIANNA SMITH LPN” Practice Location

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