Erin Jennifer Chamberlain, LPN

Individual provider Active NPI Licensed Practical Nurse · Wickliffe, OH

NPI 1235479262 · NPPES record last updated Feb 28, 2013

Key facts

NPI
1235479262
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN.129408-M-IV (OH)
Practice address
1823 E 300TH St
Wickliffe, OH 44092-1644
Phone
(440) 799-0235
NPI assigned
Feb 28, 2013
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.129408-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.129408-M-IV OH Yes

Addresses

Primary practice location

1823 E 300TH St
Wickliffe, OH 44092-1644

Mailing address

1823 E 300TH St
Wickliffe, OH 44092-1644
Phone (440) 799-0235

Other providers in Wickliffe, OH

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

Sources for this page

Verify at the official NPI Registry.