Healthcare Provider Details

I. General information

NPI: 1689636771
Provider Name (Legal Business Name): NANCY JEAN DANIELS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6693 STEINBECK CT
NORTH RIDGEVILLE OH
44039-3363
US

IV. Provider business mailing address

6693 STEINBECK CT
NORTH RIDGEVILLE OH
44039-3363
US

V. Phone/Fax

Practice location:
  • Phone: 440-327-1702
  • Fax: 440-327-1702
Mailing address:
  • Phone: 440-327-1702
  • Fax: 440-327-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN. 098885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: