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NPI Code Detail

MEDICARE: NICOLE VERLIE BARRIE CNA

MEDICARE:   NICOLE VERLIE BARRIE  CNA
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1700666914
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE VERLIE BARRIE CNA
Provider Business Mailing Address
First Line : 2673 FOREST RUN DR
Second Line :
City : LEWISBURG
State : TN
Zip : 37091-7300
Country : US
Telephone Number : 931-309-5465
Fax Number :
Provider Business Practice Location Address
First Line : 244 CHURCH ST
Second Line :
City : LYNNVILLE
State : TN
Zip : 38472-3115
Country : US
Telephone Number : 931-309-5465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 10/04/2023

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Directions to “ NICOLE VERLIE BARRIE CNA” Practice Location

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