Maya Sharia Peacock in Fremont - Licensed Practical Nurse

Maya Sharia Peacock - NPI 1942469473

Maya Sharia Peacock is a Licensed Practical Nurse in Fremont, Ohio. Maya Sharia Peacock practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Maya Sharia Peacock is 1942469473. The last update date is 2008-06-09.

Maya Sharia Peacock's current location address is 915 Stilwell Ave, Fremont, Ohio. You can contact this provider via phone number 4193343073. The mailing address for Maya Sharia Peacock is 915 Stilwell Ave, Fremont, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Maya Sharia Peacock
Address 915 Stilwell Ave, Fremont, Ohio
Phone Number 4193343073
Fax Number
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1942469473
Provider Enumeration Date 2008-06-09
Last Updated Date 2008-06-09

Provider Mailing Address Detail

Address 915 Stilwell Ave
City Fremont
State Ohio (OH)
Post Code 434202022
Phone Number 4193343073
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 117804
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

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FAQs about Maya Sharia Peacock

What is the Maya Sharia Peacock's 1942469473?

The Maya Sharia Peacock's NPI (National Provider Identifier) Number is 1942469473. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Maya Sharia Peacock's facilities are geographically located?

The facilities of Maya Sharia Peacock are physically situated at the following location: 915 Stilwell Ave, Fremont, OH, 434202022.

What is the area of specialization for Maya Sharia Peacock, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Maya Sharia Peacock is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942469473 to Maya Sharia Peacock?

The Centers for Medicare & Medicaid Services assigned the 1942469473 to Maya Sharia Peacock on 2008-06-09.

When was the information regarding Maya Sharia Peacock most recently updated?

The details pertaining to the Maya Sharia Peacock, including its address, specialty, and other relevant information, were last refreshed on 2008-06-09.

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