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NPI Code Detail

MEDICARE: SHARI LOUISE DEHART RN

MEDICARE: SHARI LOUISE DEHART RN
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
1163WG0000XGeneral Practice Registered NurseRN245135OH

General Provider Information

NPI Number : 1013653013
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARI LOUISE DEHART RN
Provider Business Mailing Address
First Line : 4038 RHODES AVE
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-5527
Country : US
Telephone Number : 740-773-1141
Fax Number : 740-353-3704
Provider Business Practice Location Address
First Line : 4038 RHODES AVE
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-5527
Country : US
Telephone Number : 740-773-1141
Fax Number : 740-353-3704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2022
Last Update Date : 05/11/2022

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