Mardona Kay Kauffman Treen, LPN
Individual provider Active NPI Licensed Practical Nurse · Conneaut, OH
NPI 1093874489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093874489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN 096727 (OH)
- Practice address
- 455 Main St
Conneaut, OH 44030 - Phone
- (440) 593-6380
- NPI assigned
- Dec 8, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN 096727 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 096727 | OH | Yes |
Addresses
Primary practice location
455 Main St
Conneaut, OH 44030
Mailing address
455 Main St
Conneaut, OH 44030
Phone (440) 593-6380
Other providers in Conneaut, OH
- Tracy Lynne Johnson
- Joseph a Denunzio DDS PC
- Joseph a Denunzio DDS PC
- Manjot K Kang
- Karen Baluch, LPCC Baker Family Counseling
- Carl Scott Keller
- Barbara Ann Kennedy
- Brian John Kereky
- Bailey Kerr
- Kimberly Ann Ketchum
All providers in Conneaut, 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 Jul 8, 2007. 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.