Healthcare Provider Details

I. General information

NPI: 1891400289
Provider Name (Legal Business Name): MLNP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 PONTIUS ST NE
ALLIANCE OH
44601-9790
US

IV. Provider business mailing address

PO BOX 5254
POLAND OH
44514-0254
US

V. Phone/Fax

Practice location:
  • Phone: 330-807-8751
  • Fax: 330-776-5557
Mailing address:
  • Phone: 330-520-2221
  • Fax: 330-776-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LEPSESTY
Title or Position: OWNER
Credential: NP
Phone: 330-807-8751