Marquita Brown
Individual provider Active NPI Licensed Practical Nurse · Swanton, OH
NPI 1295267771 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1295267771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN118627 (OH)
- Practice address
- 350 S Irwin Rd
Swanton, OH 43558 - Phone
- (567) 703-9064
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| PN118627 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN118627 | OH | Yes |
Addresses
Primary practice location
350 S Irwin Rd
Swanton, OH 43558
Mailing address
311 E Market St
Lima, OH 45801
Phone (567) 703-9064
Other providers in Swanton, OH
- Breanna Benjamin
- Kelly Louise Bergman
- Black Swamp Worksite Therapy, LLC
- Helen Bouillion
- Joseph Paul Brennan
- Carerx Pharmacy LLC
- Virginia Marie Carter
- Eric Chalfin
- Laura Marie Cole
- Hayley Elizabeth Cox
All providers in Swanton, 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 Apr 3, 2017. 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.