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NPI Code Detail

MEDICARE: SANDRA L YARBOROUGH RN

MEDICARE: SANDRA L YARBOROUGH 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 NurseRN-247798OH

General Provider Information

NPI Number : 1861630402
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA L YARBOROUGH RN
Provider Business Mailing Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-751-7747
Fax Number : 513-872-5182
Provider Business Practice Location Address
First Line : 1515 CARLL ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2012
Country : US
Telephone Number : 513-751-7747
Fax Number : 513-872-5182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2009
Last Update Date : 02/04/2009

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