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NPI Code Detail

MEDICARE: MS. TANECIA CARTER LPN

MEDICARE: MS. TANECIA CARTER 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 Nurse150830OH

General Provider Information

NPI Number : 1366989972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TANECIA CARTER LPN
Provider Business Mailing Address
First Line : 3632 E 153RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4941
Country : US
Telephone Number : 216-640-3010
Fax Number :
Provider Business Practice Location Address
First Line : 3632 E 153RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4941
Country : US
Telephone Number : 216-640-3010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2017
Last Update Date : 01/21/2017

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Directions to “ MS. TANECIA CARTER LPN” Practice Location

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