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NPI Code Detail

MEDICARE: MS. SHIRLEY ANN PRICE LPN

MEDICARE:  MS. SHIRLEY ANN PRICE  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 NurseLPN095957OH

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 : 1215995220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHIRLEY ANN PRICE LPN
Provider Business Mailing Address
First Line : 1885 NELA AVE
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-1631
Country : US
Telephone Number : 216-322-6494
Fax Number :
Provider Business Practice Location Address
First Line : 1885 NELA AVE
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-1631
Country : US
Telephone Number : 216-322-6494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 03/18/2016

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Directions to “ MS. SHIRLEY ANN PRICE LPN” Practice Location

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