MEDICARE: MS. SHARRIAN FAYE VINEGAR 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	057062	OH

General Provider Information

NPI Number	:	1366771842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARRIAN FAYE VINEGAR LPN

Provider Business Mailing Address
First Line	:	830 CLEVELAND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3732
Country	:	US
Telephone Number	:	513-751-1709
Fax Number	:	513-751-4040

Provider Business Practice Location Address
First Line	:	830 CLEVELAND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3732
Country	:	US
Telephone Number	:	513-751-1709
Fax Number	:	513-751-4040

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

Provider Enumeration Date	:	12/14/2009
Last Update Date	:	12/07/2025

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