Holly Macdonald
Individual provider Active NPI Licensed Practical Nurse · Paulding, OH
NPI 1104228923 · NPPES record last updated Sep 24, 2014
Key facts
- NPI
- 1104228923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 133054 (OH)
- Practice address
- 13153 Road 126
Paulding, OH 45879-9444 - Phone
- (419) 769-0537
- NPI assigned
- Sep 24, 2014
- 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 |
|---|---|---|---|
| 133054 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 133054 | OH | Yes |
Addresses
Primary practice location
13153 Road 126
Paulding, OH 45879-9444
Mailing address
13153 Rd 126
Paulding, OH 45879
Phone (419) 769-0537
Other providers in Paulding, OH
- Tabitha Lawrence
- Jennifer Lee
- Katherine Leeth
- Jeanne A Lemieux
- Melissa Lynn Leslie
- Majestic Care of Paulding LLC
- Samuel Benjamin Manz
- Kaleigh R Mapes
- Mark Allyn Marenberg
- Amanda Martinez
All providers in Paulding, 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 Sep 24, 2014. 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.