MEDICARE: MS. ROSEMARY ROBINSON BSN RN

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	163W00000X	Registered Nurse	RN21127	OH

General Provider Information

NPI Number	:	1417117276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY ROBINSON BSN RN

Provider Business Mailing Address
First Line	:	3572 HILDANA RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-5002
Country	:	US
Telephone Number	:	216-862-0286
Fax Number	:

Provider Business Practice Location Address
First Line	:	3572 HILDANA RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-5002
Country	:	US
Telephone Number	:	216-862-0286
Fax Number	:

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

Provider Enumeration Date	:	06/14/2008
Last Update Date	:	06/14/2008

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