Alexis Carico

Individual provider Active NPI Licensed Practical Nurse · Napoleon, OH

NPI 1053708792 · NPPES record last updated Apr 21, 2015

Key facts

NPI
1053708792
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN125430-IV (OH)
Practice address
701 Briarheath Ave
Napoleon, OH 43545-1251
Phone
(419) 599-1050
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

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
PN125430-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN125430-IV OH Yes

Addresses

Primary practice location

701 Briarheath Ave
Napoleon, OH 43545-1251

Mailing address

101 S Pleasantview Dr
Liberty Center, OH 43532-9797
Phone (419) 551-0220

Other names

  • Alexis Rupp Former name

Other providers in Napoleon, OH

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

Sources for this page

Verify at the official NPI Registry.