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NPI Code Detail

MEDICARE: MRS. VERSHAY LAY'ETTE TRAMMER PRACTICAL NURSE

MEDICARE:  MRS. VERSHAY LAY'ETTE TRAMMER  PRACTICAL NURSE
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 NursePN140011OH

General Provider Information

NPI Number : 1558640482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERSHAY LAY'ETTE TRAMMER PRACTICAL NURSE
Provider Business Mailing Address
First Line : 25000 ROCKSIDE RD
Second Line : APARTMENT 207
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1937
Country : US
Telephone Number : 216-630-8325
Fax Number :
Provider Business Practice Location Address
First Line : 25000 ROCKSIDE RD
Second Line : APARTMENT 207
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1937
Country : US
Telephone Number : 216-630-8325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2011
Last Update Date : 08/09/2011

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Directions to “ MRS. VERSHAY LAY'ETTE TRAMMER PRACTICAL NURSE” Practice Location

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