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NPI Code Detail

MEDICARE: CHARLENE DENISE MCLAIN RN

MEDICARE:   CHARLENE DENISE MCLAIN  RN
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
1163W00000XRegistered Nurse9397206FL

General Provider Information

NPI Number : 1730652595
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE DENISE MCLAIN RN
Provider Business Mailing Address
First Line : 201 N WEST SHORE BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33609-1917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 N WEST SHORE BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33609-1917
Country : US
Telephone Number : 813-282-9910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2019
Last Update Date : 01/04/2019

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Directions to “ CHARLENE DENISE MCLAIN RN” Practice Location

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