MEDICARE: MRS. HESTER VELMA DRUMMOND 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	163WH0200X	Home Health Registered Nurse	230970	NC

General Provider Information

NPI Number	:	1215167614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HESTER VELMA DRUMMOND RN

Provider Business Mailing Address
First Line	:	2664 TIMBER DR STE 404
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-2571
Country	:	US
Telephone Number	:	919-559-1179
Fax Number	:	919-803-2514

Provider Business Practice Location Address
First Line	:	3739 JUNCTION BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-5263
Country	:	US
Telephone Number	:	919-559-1179
Fax Number	:	919-803-2514

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

Provider Enumeration Date	:	07/20/2009
Last Update Date	:	07/20/2009

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