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NPI Code Detail

MEDICARE: AXEL DARLEY ROPS BAYARD LPN

MEDICARE: AXEL DARLEY ROPS BAYARD LPN
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
1163W00000XRegistered Nurse864331NY

General Provider Information

NPI Number : 1568851574
Entity Type Code : Individual
Provider Name (Legal Business Name) : AXEL DARLEY ROPS BAYARD LPN
Provider Business Mailing Address
First Line : 1362 NEW YORK AVE APT 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-6313
Country : US
Telephone Number : 347-303-5134
Fax Number :
Provider Business Practice Location Address
First Line : 1362 NEW YORK AVE APT 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-6313
Country : US
Telephone Number : 347-303-5134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 06/01/2023

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