Elizabeth Ansli Dewees, LPN

Individual provider Active NPI Licensed Practical Nurse · Northfield, OH

NPI 1114280617 · NPPES record last updated Jun 19, 2012

Key facts

NPI
1114280617
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
117250 (OH)
Practice address
9315 Lincoln Dr
Apt. C 10
Northfield, OH 44067-4145
Phone
(216) 952-2889
Fax
(330) 748-4957
NPI assigned
Jun 19, 2012
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
117250OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 117250 OH Yes

Addresses

Primary practice location

9315 Lincoln Dr
Apt. C 10
Northfield, OH 44067-4145

Mailing address

9315 Lincoln Dr
Apt. C 10
Northfield, OH 44067-4145
Phone (216) 952-2889

Other providers in Northfield, OH

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

Sources for this page

Verify at the official NPI Registry.