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NPI Code Detail

MEDICARE: OLIVE LOBE RN

MEDICARE:   OLIVE  LOBE  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 NurseRN315056OH

General Provider Information

NPI Number : 1790967677
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVE LOBE RN
Provider Business Mailing Address
First Line : 3903 LINDEN RD
Second Line :
City : ROCKY RIVER
State : OH
Zip : 44116-4017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3903 LINDEN RD
Second Line :
City : ROCKY RIVER
State : OH
Zip : 44116-4017
Country : US
Telephone Number : 440-864-2367
Fax Number : 440-356-4895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2007
Last Update Date : 12/03/2007

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Directions to “ OLIVE LOBE RN” Practice Location

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