MEDICARE: CHOYCE GUICE 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
1	164W00000X	Licensed Practical Nurse	150691	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629312574	OTHER	OH	NPI
2	150691	OTHER	OH	OHIO BOARD OF NURSING

General Provider Information

NPI Number	:	1629312574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHOYCE GUICE LPN

Provider Business Mailing Address
First Line	:	690 MULL AVE APT 2E
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-7548
Country	:	US
Telephone Number	:	317-993-4065
Fax Number	:

Provider Business Practice Location Address
First Line	:	1557 VERNON ODOM BLVD STE 101
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-4061
Country	:	US
Telephone Number	:	317-993-4065
Fax Number	:

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

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	07/06/2022

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Directions to “ CHOYCE GUICE LPN” Practice Location

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