MEDICARE: MISS SHEREEN JEANETTE BARKER 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	RN.318926	OH

General Provider Information

NPI Number	:	1528180767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SHEREEN JEANETTE BARKER RN

Provider Business Mailing Address
First Line	:	3146 BECKET RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-2821
Country	:	US
Telephone Number	:	216-798-3973
Fax Number	:

Provider Business Practice Location Address
First Line	:	3146 BECKET RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44120-2821
Country	:	US
Telephone Number	:	216-798-3973
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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