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NPI Code Detail

MEDICARE: HEIDI PAUL RN

MEDICARE:   HEIDI  PAUL  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
1163WP2201XAmbulatory Care Registered NurseRN.312061OH

General Provider Information

NPI Number : 1558072769
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI PAUL RN
Provider Business Mailing Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7077 BARTON DR
Second Line :
City : MENTOR
State : OH
Zip : 44060-4406
Country : US
Telephone Number : 216-904-1322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 12/08/2022

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