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NPI Code Detail

MEDICARE: MS. ALICE ANN COFIELD LPN

MEDICARE:  MS. ALICE ANN COFIELD  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
1164W00000XLicensed Practical NursePN019028OH

General Provider Information

NPI Number : 1508085283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE ANN COFIELD LPN
Provider Business Mailing Address
First Line : 3286 E 146TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4126
Country : US
Telephone Number : 216-921-7173
Fax Number :
Provider Business Practice Location Address
First Line : 1034 RENFIELD
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44121-2416
Country : US
Telephone Number : 216-291-2119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ALICE ANN COFIELD LPN” Practice Location

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