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NPI Code Detail

MEDICARE: MS. TATIANA IPPOLITO RN

MEDICARE: MS. TATIANA IPPOLITO 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
1163WH0200XHome Health Registered NurseRN.37288AOH

General Provider Information

NPI Number : 1205105012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TATIANA IPPOLITO RN
Provider Business Mailing Address
First Line : 26600 RENAISSANCE PKWY
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5795
Country : US
Telephone Number : 216-329-8999
Fax Number :
Provider Business Practice Location Address
First Line : 26600 RENAISSANCE PKWY
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5795
Country : US
Telephone Number : 216-329-8999
Fax Number : 216-751-5894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2011
Last Update Date : 12/20/2023

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