Healthcare Provider Details

I. General information

NPI: 1437053170
Provider Name (Legal Business Name): COURTNEY DREES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9324 SEIBT RD
BRADFORD OH
45308-9605
US

IV. Provider business mailing address

9324 SEIBT RD
BRADFORD OH
45308-9605
US

V. Phone/Fax

Practice location:
  • Phone: 937-750-4958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberR.N.392240
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: