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NPI Code Detail

MEDICARE: KAREN SCROGGINS LPN

MEDICARE: KAREN SCROGGINS 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 Nurse058118OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760926307
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SCROGGINS LPN
Provider Business Mailing Address
First Line : 1127 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2805
Country : US
Telephone Number : 216-861-4246
Fax Number : 216-861-1156
Provider Business Practice Location Address
First Line : 1127 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2805
Country : US
Telephone Number : 216-861-4246
Fax Number : 216-861-1156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2016
Last Update Date : 03/03/2022

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Directions to “ KAREN SCROGGINS LPN” Practice Location

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