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NPI Code Detail

MEDICARE: BARI ELIZABETH ROY RN

MEDICARE: BARI ELIZABETH ROY 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
1163W00000XRegistered Nurse72792WV

General Provider Information

NPI Number : 1235695792
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARI ELIZABETH ROY RN
Provider Business Mailing Address
First Line : PO BOX 297
Second Line :
City : CEREDO
State : WV
Zip : 25507-0297
Country : US
Telephone Number : 304-544-6251
Fax Number :
Provider Business Practice Location Address
First Line : 1220 GREENUP AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7525
Country : US
Telephone Number : 304-544-6251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2019
Last Update Date : 02/20/2019

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