MEDICARE: BARBARA TROUT 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
1	163W00000X	Registered Nurse	RN237339	OH

General Provider Information

NPI Number	:	1306081591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA TROUT R.N.

Provider Business Mailing Address
First Line	:	5586 ENNIS RD
Second Line	:
City	:	ALBANY
State	:	OH
Zip	:	45710-9259
Country	:	US
Telephone Number	:	740-854-4021
Fax Number	:

Provider Business Practice Location Address
First Line	:	5586 ENNIS RD
Second Line	:
City	:	ALBANY
State	:	OH
Zip	:	45710-9259
Country	:	US
Telephone Number	:	740-854-4021
Fax Number	:

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

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	12/03/2008

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