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NPI Code Detail

MEDICARE: CYNTHIA EILEEN PAGE LPN

MEDICARE: CYNTHIA EILEEN PAGE 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 NurseL36330-7MN

General Provider Information

NPI Number : 1194045401
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA EILEEN PAGE LPN
Provider Business Mailing Address
First Line : 432 140TH ST
Second Line :
City : SHERBURN
State : MN
Zip : 56171-1140
Country : US
Telephone Number : 507-215-1092
Fax Number :
Provider Business Practice Location Address
First Line : 106 4TH AVE NORTH
Second Line :
City : FERGUS FALLS
State : MN
Zip : 56537-1034
Country : US
Telephone Number : 218-998-3778
Fax Number : 218-998-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2010
Last Update Date : 06/09/2010

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Directions to “ CYNTHIA EILEEN PAGE LPN” Practice Location

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