MEDICARE: GIRLIE TAPALLA STARCHER 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
1	164W00000X	Licensed Practical Nurse	122764	OH

General Provider Information

NPI Number	:	1376801837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIRLIE TAPALLA STARCHER LPN

Provider Business Mailing Address
First Line	:	6945 COUNTY ROAD 121
Second Line	:
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-9554
Country	:	US
Telephone Number	:	614-348-9625
Fax Number	:

Provider Business Practice Location Address
First Line	:	6945 COUNTY ROAD 121
Second Line	:
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-9554
Country	:	US
Telephone Number	:	614-348-9625
Fax Number	:

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

Provider Enumeration Date	:	05/02/2012
Last Update Date	:	05/14/2012

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