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NPI Code Detail

MEDICARE: VIOLA WILLIAMS HEATH LPN

MEDICARE:   VIOLA WILLIAMS HEATH  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 NursePN 110432OH

General Provider Information

NPI Number : 1326473992
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIOLA WILLIAMS HEATH LPN
Provider Business Mailing Address
First Line : 1331 FABER AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-2647
Country : US
Telephone Number : 614-491-2262
Fax Number :
Provider Business Practice Location Address
First Line : 1331 FABER AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-2647
Country : US
Telephone Number : 614-491-2262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2013
Last Update Date : 09/13/2013

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Directions to “ VIOLA WILLIAMS HEATH LPN” Practice Location

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