Anna Fedorko, LPN
Individual provider Active NPI Licensed Practical Nurse · Geneva, OH
NPI 1083955652 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1083955652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN 112686 (OH)
- Practice address
- 731 Eastwood St
Geneva, OH 44041-1722 - Phone
- (440) 466-9573
- NPI assigned
- Mar 7, 2013
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN 112686 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 112686 | OH | Yes |
Addresses
Primary practice location
731 Eastwood St
Geneva, OH 44041-1722
Mailing address
731 Eastwood St
Geneva, OH 44041
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All providers in Geneva, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.