MEDICARE: LINDA T DABNEY 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
1	363L00000X	Nurse Practitioner	APRN.CNP.024058	OH
2	163W00000X	Registered Nurse	310293	OH

General Provider Information

NPI Number	:	1063693158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA T DABNEY RN

Provider Business Mailing Address
First Line	:	3616 CHELTON RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5025
Country	:	US
Telephone Number	:	216-752-8446
Fax Number	:

Provider Business Practice Location Address
First Line	:	3616 CHELTON RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5025
Country	:	US
Telephone Number	:	216-752-8446
Fax Number	:

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

Provider Enumeration Date	:	11/17/2007
Last Update Date	:	02/14/2019

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