MEDICARE: MS. ERICA ARMSTEAD

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	163W00000X	Registered Nurse	RN.430048	OH

General Provider Information

NPI Number	:	1750660379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERICA ARMSTEAD

Provider Business Mailing Address
First Line	:	3560 TOLLAND RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-5139
Country	:	US
Telephone Number	:	216-659-6729
Fax Number	:

Provider Business Practice Location Address
First Line	:	3560 TOLLAND RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-5139
Country	:	US
Telephone Number	:	216-659-6729
Fax Number	:

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

Provider Enumeration Date	:	08/13/2011
Last Update Date	:	01/24/2018

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