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NPI Code Detail

MEDICARE: MRS. MONA LEA BAUGHMAN R.N

MEDICARE:  MRS. MONA LEA BAUGHMAN  R.N
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.198942-OH

General Provider Information

NPI Number : 1295005783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONA LEA BAUGHMAN R.N
Provider Business Mailing Address
First Line : 53968 KREBS HILL RD
Second Line :
City : CLARINGTON
State : OH
Zip : 43915-9782
Country : US
Telephone Number : 740-213-1064
Fax Number :
Provider Business Practice Location Address
First Line : 53968 KREBS HILL RD
Second Line :
City : CLARINGTON
State : OH
Zip : 43915-9782
Country : US
Telephone Number : 740-213-1064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2011
Last Update Date : 12/30/2011

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Directions to “ MRS. MONA LEA BAUGHMAN R.N” Practice Location

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