Healthcare Provider Details

I. General information

NPI: 1578807137
Provider Name (Legal Business Name): MARGARET N NJIIRI LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 APPIAN WAY CT APT F
GAHANNA OH
43230-5413
US

IV. Provider business mailing address

4140 APPIAN WAY CT APT F
GAHANNA OH
43230-5413
US

V. Phone/Fax

Practice location:
  • Phone: 614-707-8681
  • Fax:
Mailing address:
  • Phone: 614-707-8681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number147079
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: