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NPI Code Detail

MEDICARE: MICHELE RENEE PRESLEY LPN

MEDICARE: MICHELE RENEE PRESLEY 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 NurseLPN146085-M-IVOH
2164W00000XLicensed Practical NursePN.146085-M-IVOH

General Provider Information

NPI Number : 1245664432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE RENEE PRESLEY LPN
Provider Business Mailing Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number : 740-297-4417
Fax Number : 740-487-1461
Provider Business Practice Location Address
First Line : 1590 COAL RUN RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9167
Country : US
Telephone Number : 740-297-4417
Fax Number : 740-487-1416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2013
Last Update Date : 01/09/2024

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