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NPI Code Detail

MEDICARE: MS. BARBARA LIDDELL R.N.

MEDICARE: MS. BARBARA LIDDELL 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
1163WS0200XSchool Registered NurseRN. 141517OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164624367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA LIDDELL R.N.
Provider Business Mailing Address
First Line : 1878 MANNERING RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-1571
Country : US
Telephone Number : 216-531-3665
Fax Number : 216-531-3665
Provider Business Practice Location Address
First Line : 1878 MANNERING RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-1571
Country : US
Telephone Number : 216-531-3665
Fax Number : 216-531-3665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 07/09/2007

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