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NPI Code Detail

MEDICARE: CYNTHIA M CRACE BSN, RN

MEDICARE:   CYNTHIA M CRACE  BSN, 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. 360155OH

General Provider Information

NPI Number : 1528373792
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA M CRACE BSN, RN
Provider Business Mailing Address
First Line : 1175 CARBONE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-2015
Country : US
Telephone Number : 614-374-4608
Fax Number :
Provider Business Practice Location Address
First Line : 1175 CARBONE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-2015
Country : US
Telephone Number : 614-374-4608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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Directions to “ CYNTHIA M CRACE BSN, RN” Practice Location

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