MEDICARE: MS. SHERRIE LEE HUNT 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
1	164W00000X	Licensed Practical Nurse	PN100946	OH

General Provider Information

NPI Number	:	1174897334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERRIE LEE HUNT LPN

Provider Business Mailing Address
First Line	:	2132 BAIRD AVE NE
Second Line	:
City	:	PARIS
State	:	OH
Zip	:	44669-9653
Country	:	US
Telephone Number	:	330-862-1509
Fax Number	:	330-862-1509

Provider Business Practice Location Address
First Line	:	2132 BAIRD AVE NE
Second Line	:
City	:	PARIS
State	:	OH
Zip	:	44669-9653
Country	:	US
Telephone Number	:	330-862-1509
Fax Number	:	330-862-1509

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

Provider Enumeration Date	:	03/05/2012
Last Update Date	:	03/05/2012

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