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NPI Code Detail

MEDICARE: MISS AMBER SORN LPN

MEDICARE: MISS AMBER SORN 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 NurseLPN.138969.MEDS-IVOH

General Provider Information

NPI Number : 1033786843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMBER SORN LPN
Provider Business Mailing Address
First Line : 11230 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-1202
Country : US
Telephone Number : 513-851-0601
Fax Number : 513-851-0602
Provider Business Practice Location Address
First Line : 11230 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-1202
Country : US
Telephone Number : 513-851-0601
Fax Number : 513-851-0602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 06/09/2021

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