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NPI Code Detail

MEDICARE: ANNIE WARE RN

MEDICARE:   ANNIE  WARE  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
1163W00000XRegistered Nurse390729OH

General Provider Information

NPI Number : 1396088704
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE WARE RN
Provider Business Mailing Address
First Line : 5247 E 98TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-2449
Country : US
Telephone Number : 216-702-9513
Fax Number :
Provider Business Practice Location Address
First Line : 5247 E 98TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-2449
Country : US
Telephone Number : 216-702-9513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 04/03/2013

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Directions to “ ANNIE WARE RN” Practice Location

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