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NPI Code Detail

MEDICARE: NANCY KEARNEY LPN

MEDICARE: NANCY KEARNEY 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
1164W00000XLicensed Practical NursePN5150905FL

General Provider Information

NPI Number : 1629385828
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY KEARNEY LPN
Provider Business Mailing Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-562-7220
Fax Number : 772-562-5476
Provider Business Practice Location Address
First Line : 1986 35TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2533
Country : US
Telephone Number : 772-562-7220
Fax Number : 772-562-5476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2010
Last Update Date : 09/09/2010

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