MEDICARE: BRIAN A AIKENS

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	314548	OH

General Provider Information

NPI Number	:	1982306619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN A AIKENS

Provider Business Mailing Address
First Line	:	310 BRIDGEPORT TRL
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1464
Country	:	US
Telephone Number	:	216-407-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 BRIDGEPORT TRL
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1464
Country	:	US
Telephone Number	:	216-407-1226
Fax Number	:

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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Directions to “ BRIAN A AIKENS ” Practice Location

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