Tracy Severn in Brunswick - Licensed Practical Nurse

Tracy Severn - NPI 1043336076

Tracy Severn is a Licensed Practical Nurse in Brunswick, Ohio. Tracy Severn practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tracy Severn is 1043336076. The last update date is 2007-07-08.

Tracy Severn's current location address is 1474 Mckinley Ave, Brunswick, Ohio. You can contact this provider via phone number 3302733207. The mailing address for Tracy Severn is 1474 Mckinley Ave, Brunswick, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Severn
Address 1474 Mckinley Ave, Brunswick, Ohio
Phone Number 3302733207
Fax Number
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1043336076
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1474 Mckinley Ave
City Brunswick
State Ohio (OH)
Post Code 442123336
Phone Number 3302733207
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No PN 100324
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2118649 OH INDEPENDANT PROVIDER

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FAQs about Tracy Severn

What is the unique identifier code issued to Tracy Severn by the Centers for Medicare & Medicaid Services?

The Tracy Severn has been assigned the NPI (National Provider Identifier) 1043336076. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tracy Severn is geographically located?

The Tracy Severn is physically situated at the following location: 1474 Mckinley Ave, Brunswick, OH, 442123336.

What is Tracy Severn's area of expertise and its corresponding taxonomy classification?

The Tracy Severn's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1043336076 assigned to Tracy Severn?

The Tracy Severn was issued its 1043336076 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Tracy Severn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracy Severn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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