Tracy Severn LPN

NPI 1043336076 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1043336076
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1474 MCKINLEY AVE
BRUNSWICK OH, 44212-3336, US
Phone (330) 273-3207
Fax
Business Location
1474 MCKINLEY AVE
BRUNSWICK OH, 44212-3336, US
Phone (330) 273-3207
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN 100324
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According to our database, Ms. Tracy Severn LPN NPI is 1043336076, taxonomy code is 164W00000X and license number is PN 100324, license state is located at Ohio. Tracy Severn LPN physically located at 1474 Mckinley Ave, Brunswick OH, 44212-3336. NPI Number Tracy Severn LPN has the Individual type.

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1043336076 NPI number is provided on an as is basis without warranty of any kind. 1043336076 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Severn LPN are for informational purposes only.