MEDICARE: MS. JULIANA AGYEI HOWARD 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
1	164W00000X	Licensed Practical Nurse	PN130922	OH
2	167G00000X	Licensed Psychiatric Technician	PN130922	OH

General Provider Information

NPI Number	:	1275885402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIANA AGYEI HOWARD LPN

Provider Business Mailing Address
First Line	:	4132 VINESHIRE LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-3654
Country	:	US
Telephone Number	:	614-446-2479
Fax Number	:

Provider Business Practice Location Address
First Line	:	4132 VINESHIRE LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-3654
Country	:	US
Telephone Number	:	614-446-2479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2012
Last Update Date	:	10/11/2012

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