Michelle Ann Laney, LPN

Individual provider Active NPI Licensed Practical Nurse · Marblehead, OH

NPI 1164072468 · NPPES record last updated Sep 18, 2019

Key facts

NPI
1164072468
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN153683.MEDS-IV (OH)
Practice address
98 Gravel Bar Rd
Marblehead, OH 43440-1076
Phone
(567) 224-5790
NPI assigned
Sep 18, 2019
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
LPN153683.MEDS-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN153683.MEDS-IV OH Yes

Addresses

Primary practice location

98 Gravel Bar Rd
Marblehead, OH 43440-1076

Mailing address

98 Gravel Bar Rd
Marblehead, OH 43440-1076
Phone (567) 224-5790

Other identifiers

IdentifierTypeStateIssuer
LPN153683.MEDS-IVMedicaidOH

Other providers in Marblehead, OH

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

Sources for this page

Verify at the official NPI Registry.