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NPI Code Detail

MEDICARE: TIWANNA D WHITT LPN

MEDICARE:   TIWANNA D WHITT  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 Nurse135488OH

General Provider Information

NPI Number : 1326341504
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIWANNA D WHITT LPN
Provider Business Mailing Address
First Line : 21003 ELLACOTT PKWY APT D9
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-4444
Country : US
Telephone Number : 216-744-5170
Fax Number :
Provider Business Practice Location Address
First Line : 21003 ELLACOTT PKWY APT D9
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-4444
Country : US
Telephone Number : 216-744-5170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2010
Last Update Date : 12/10/2010

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Directions to “ TIWANNA D WHITT LPN” Practice Location

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