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NPI Code Detail

MEDICARE: SHARONDA COTTRELL LPN

MEDICARE:   SHARONDA  COTTRELL  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
1164W00000XLicensed Practical NursePN154342OH

General Provider Information

NPI Number : 1760806384
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARONDA COTTRELL LPN
Provider Business Mailing Address
First Line : 1859 NELA AVE
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-1631
Country : US
Telephone Number : 216-219-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1859 NELA AVE
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-1631
Country : US
Telephone Number : 216-219-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 02/18/2014

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Directions to “ SHARONDA COTTRELL LPN” Practice Location

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