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NPI Code Detail

MEDICARE: BARRY OHEARN RN

MEDICARE:   BARRY  OHEARN  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 NurseRN.353640OH

General Provider Information

NPI Number : 1417701830
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY OHEARN RN
Provider Business Mailing Address
First Line : 5790 ELM HILL DR
Second Line :
City : SOLON
State : OH
Zip : 44139-1946
Country : US
Telephone Number : 440-715-3264
Fax Number :
Provider Business Practice Location Address
First Line : 5790 ELM HILL DR
Second Line :
City : SOLON
State : OH
Zip : 44139-1946
Country : US
Telephone Number : 440-715-3264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2024
Last Update Date : 04/12/2024

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Directions to “ BARRY OHEARN RN” Practice Location

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