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NPI Code Detail

MEDICARE: DEBRA BYRON RN

MEDICARE: DEBRA BYRON 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 NurseRN.241635OH

General Provider Information

NPI Number : 1265964290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA BYRON RN
Provider Business Mailing Address
First Line : 18697 BAGLEY RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44130-3417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7265 OLD OAK BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44130-3342
Country : US
Telephone Number : 440-816-8200
Fax Number : 440-816-8197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 03/29/2017

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