Kathleen Maragaret Waits, LPN

Individual provider Active NPI Licensed Practical Nurse · Bellville, OH

NPI 1053666412 · NPPES record last updated Jul 20, 2012

Key facts

NPI
1053666412
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
137408 (OH)
Practice address
291 Honey Creek Rd
Bellville, OH 44813-8925
Phone
(419) 961-3492
NPI assigned
Jul 20, 2012
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
137408OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 137408 OH Yes

Addresses

Primary practice location

291 Honey Creek Rd
Bellville, OH 44813-8925

Mailing address

291 Honeycreek Road East
Bellville, OH 44813
Phone (419) 961-3492

Other providers in Bellville, OH

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

Sources for this page

Verify at the official NPI Registry.