Margo Elaine Brown, LPN

Individual provider Active NPI Licensed Practical Nurse · Maple Heights, OH

NPI 1104127232 · NPPES record last updated Nov 5, 2010

Key facts

NPI
1104127232
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN 136318-M-IV (OH)
Practice address
5224 Theodore Street
Maple Heights, OH 44137-1334
Phone
(216) 662-3737
NPI assigned
Nov 5, 2010
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
PN 136318-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 136318-M-IV OH Yes

Addresses

Primary practice location

5224 Theodore Street
Maple Heights, OH 44137-1334

Mailing address

5224 Theodore Street
Maple Heights, OH 44137-1334
Phone (216) 662-3737

Other providers in Maple Heights, OH

All providers in Maple Heights, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.