MEDICARE: MRS. MARSHA A FOREMAN II 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	163WH0200X	Home Health Registered Nurse	RN-277163	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336276229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARSHA A FOREMAN II R.N.

Provider Business Mailing Address
First Line	:	6335 CIMARRON RD
Second Line	:
City	:	MOUNT PERRY
State	:	OH
Zip	:	43760-9769
Country	:	US
Telephone Number	:	174-078-7260
Fax Number	:

Provider Business Practice Location Address
First Line	:	6335 CIMARRON RD
Second Line	:
City	:	MOUNT PERRY
State	:	OH
Zip	:	43760-9769
Country	:	US
Telephone Number	:	174-078-7260
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/19/2007

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