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NPI Code Detail

MEDICARE: BEVERLY ANN HYLTON LPN

MEDICARE: BEVERLY ANN HYLTON 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 Nurse140315OH
2164W00000XLicensed Practical Nurse31688WV
3164W00000XLicensed Practical NursePN 5195061FL

General Provider Information

NPI Number : 1265981971
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY ANN HYLTON LPN
Provider Business Mailing Address
First Line : 1137 STANWOOD AVE
Second Line :
City : AKRON
State : OH
Zip : 44314-1243
Country : US
Telephone Number : 330-780-7404
Fax Number : 330-258-0159
Provider Business Practice Location Address
First Line : 15 FREDERICK AVE
Second Line :
City : AKRON
State : OH
Zip : 44310-2904
Country : US
Telephone Number : 330-996-7730
Fax Number : 330-258-0159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2016
Last Update Date : 09/23/2016

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Directions to “ BEVERLY ANN HYLTON LPN” Practice Location

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