MEDICARE: ARNICE LLEWELLYN

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	163W00000X	Registered Nurse	311502	OH

General Provider Information

NPI Number	:	1497186274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNICE LLEWELLYN

Provider Business Mailing Address
First Line	:	1921 34TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-2730
Country	:	US
Telephone Number	:	330-280-7545
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 34TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-2730
Country	:	US
Telephone Number	:	330-280-7545
Fax Number	:

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

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	12/04/2013

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Directions to “ ARNICE LLEWELLYN ” Practice Location

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