MEDICARE: STELLA M ACHE RN,BSN

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	344608	OH

General Provider Information

NPI Number	:	1861777351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA M ACHE RN,BSN

Provider Business Mailing Address
First Line	:	4818 TURNEY ROAD
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125
Country	:	US
Telephone Number	:	216-799-7973
Fax Number	:

Provider Business Practice Location Address
First Line	:	4818 TURNEY RD
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2124
Country	:	US
Telephone Number	:	216-799-7973
Fax Number	:

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

Provider Enumeration Date	:	10/15/2011
Last Update Date	:	10/15/2011

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