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NPI Code Detail

MEDICARE: SHYANNE DIXSON

MEDICARE:   SHYANNE  DIXSON
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 Nurse546150OH
2164X00000XLicensed Vocational Nurse164284OH

General Provider Information

NPI Number : 1023525797
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHYANNE DIXSON
Provider Business Mailing Address
First Line : 1777 E WATERFORD CT
Second Line :
City : AKRON
State : OH
Zip : 44313-8510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1777 E WATERFORD CT
Second Line :
City : AKRON
State : OH
Zip : 44313-8510
Country : US
Telephone Number : 330-999-2028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 05/11/2026

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Directions to “ SHYANNE DIXSON ” Practice Location

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