MEDICARE: MERIRUTH HUGHES-STEMPLE 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	163W00000X	Registered Nurse	403913	OH

General Provider Information

NPI Number	:	1063895530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERIRUTH HUGHES-STEMPLE RN

Provider Business Mailing Address
First Line	:	2378 RICHMOND RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3716
Country	:	US
Telephone Number	:	330-338-5182
Fax Number	:	330-928-3370

Provider Business Practice Location Address
First Line	:	2378 RICHMOND RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3716
Country	:	US
Telephone Number	:	330-338-5182
Fax Number	:	330-928-3370

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

Provider Enumeration Date	:	07/02/2015
Last Update Date	:	07/02/2015

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