MEDICARE: VERONICA P BIRCH 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	107414	OH

General Provider Information

NPI Number	:	1528340759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA P BIRCH LPN

Provider Business Mailing Address
First Line	:	1625 TUXWORTH AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4012
Country	:	US
Telephone Number	:	513-628-7272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 TUXWORTH AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4012
Country	:	US
Telephone Number	:	513-628-7272
Fax Number	:

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

Provider Enumeration Date	:	09/14/2011
Last Update Date	:	09/14/2011

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