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NPI Code Detail

MEDICARE: MISS ANTANETTE LANA GOTT RN

MEDICARE:  MISS ANTANETTE LANA GOTT  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
1164W00000XLicensed Practical Nurse121826OH
2163WP0808XPsychiatric/Mental Health Registered Nurse539275OH

General Provider Information

NPI Number : 1437347911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANTANETTE LANA GOTT RN
Provider Business Mailing Address
First Line : 1129 UNDERWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-3071
Country : US
Telephone Number : 567-219-0143
Fax Number :
Provider Business Practice Location Address
First Line : 544 E WOODRUFF AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5342
Country : US
Telephone Number : 419-936-7377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 02/27/2025

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Directions to “ MISS ANTANETTE LANA GOTT RN” Practice Location

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