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NPI Code Detail

MEDICARE: WABASH CITY SCHOOLS

MEDICARE: WABASH CITY SCHOOLS
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
1364SS0200XSchool Clinical Nurse Specialist28103901AIN

General Provider Information

NPI Number : 1922161389
Entity Type Code : Organization
Provider Name (Legal Business Name) : WABASH CITY SCHOOLS
Provider Business Mailing Address
First Line : 1101 COLERAIN ST
Second Line :
City : WABASH
State : IN
Zip : 46992-1642
Country : US
Telephone Number : 260-563-4137
Fax Number : 260-569-9805
Provider Business Practice Location Address
First Line : 1101 COLERAIN ST
Second Line :
City : WABASH
State : IN
Zip : 46992-1642
Country : US
Telephone Number : 260-563-4137
Fax Number : 260-569-9805
Authorized Official
Title or Position : RN
Name : MRS. SHARON MARIE TUCKER
Credential : RN
Telephone Number : 260-563-4137
Provider Enumeration Date : 12/18/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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1184624249 — MR. GEORGE PAUL SCHNEIDER II MD
Practice Location Address:
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Directions to “WABASH CITY SCHOOLS ” Practice Location

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