MEDICARE: DEBORAH SUE BARROMETTI

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
1	163WC0400X	Case Management Registered Nurse	RN222981	OH
2	163WG0600X	Gerontology Registered Nurse	RN222981	OH

General Provider Information

NPI Number	:	1083052393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH SUE BARROMETTI

Provider Business Mailing Address
First Line	:	7874 MILL CREEK CIR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-5808
Country	:	US
Telephone Number	:	513-257-9536
Fax Number	:

Provider Business Practice Location Address
First Line	:	7874 MILL CREEK CIR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-5808
Country	:	US
Telephone Number	:	513-257-9536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2013
Last Update Date	:	06/08/2013

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