MEDICARE: MR. JONATHAN ANDREW CAIRNS R.N.

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	RN 9256950	FL

General Provider Information

NPI Number	:	1669764338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN ANDREW CAIRNS R.N.

Provider Business Mailing Address
First Line	:	5909 BENT PINE DR APT 224
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-3357
Country	:	US
Telephone Number	:	407-590-8006
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 BENT PINE DR APT 224
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-3357
Country	:	US
Telephone Number	:	407-590-8006
Fax Number	:

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

Provider Enumeration Date	:	05/12/2011
Last Update Date	:	05/12/2011

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