Rachel Merie Woodburn, LPN

Individual provider Active NPI Licensed Practical Nurse · Sebring, OH

NPI 1053560904 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1053560904
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN108274 (OH)
Practice address
645 E Ohio Ave
Sebring, OH 44672-1643
Phone
(330) 938-6786
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN108274OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN108274 OH Yes

Addresses

Primary practice location

645 E Ohio Ave
Sebring, OH 44672-1643

Mailing address

645 E Ohio Ave
Sebring, OH 44672-1643
Phone (330) 938-6786

Other providers in Sebring, OH

All providers in Sebring, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.