MEDICARE: MRS. PATRICIA BRESLIN 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
1	163WS0200X	School Registered Nurse	236483	OH

General Provider Information

NPI Number	:	1295150381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA BRESLIN RN

Provider Business Mailing Address
First Line	:	27012 CASCADE CT
Second Line	:
City	:	OLMSTED FALLS
State	:	OH
Zip	:	44138-3245
Country	:	US
Telephone Number	:	440-454-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 SUPERIOR AVE E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2522
Country	:	US
Telephone Number	:	216-838-0153
Fax Number	:

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

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	02/26/2014

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