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NPI Code Detail

MEDICARE: TIARRA A SIMPSON

MEDICARE:   TIARRA A SIMPSON
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
1376K00000XNurse's Aide601938721020OH

General Provider Information

NPI Number : 1679163406
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIARRA A SIMPSON
Provider Business Mailing Address
First Line : 4612 E 90TH ST
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-1338
Country : US
Telephone Number : 216-396-0130
Fax Number :
Provider Business Practice Location Address
First Line : 4612 E 90TH ST
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-1338
Country : US
Telephone Number : 216-396-0130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2021
Last Update Date : 01/26/2021

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Directions to “ TIARRA A SIMPSON ” Practice Location

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