MEDICARE: MR. FRANK NOWLIN 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	164X00000X	Licensed Vocational Nurse	PN	OH

General Provider Information

NPI Number	:	1639467244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK NOWLIN LPN

Provider Business Mailing Address
First Line	:	1238 KELBURN RD
Second Line	:	APT A
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1614
Country	:	US
Telephone Number	:	614-348-1435
Fax Number	:	216-769-3098

Provider Business Practice Location Address
First Line	:	1238 KELBURN RD
Second Line	:	APT A
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1614
Country	:	US
Telephone Number	:	614-348-1435
Fax Number	:	216-769-3098

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

Provider Enumeration Date	:	07/17/2011
Last Update Date	:	07/17/2011

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Directions to “ MR. FRANK NOWLIN LPN” Practice Location

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