Evelyn Mag Freeman, LICENSED PRACTICAL N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN080255 Issued in OH

Practice address

6081 Gibbs Rd
Andover, OH 44003-9725

Phone

(440) 293-5496

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295855781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 GIBBS ROAD",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "44003",
            "telephone_number": "440-293-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 GIBBS RD",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039725",
            "telephone_number": "440-293-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "EVELYN",
        "middle_name": "MAG",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN080255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Michael J. Namey, D.O., Inc
• Krystal Elliott
• Molly Claire Farmer, RN
• Angelique Fenslage
• Georgios Filiadis, D.O.
• Barbara Marie Fusselman, INDEPENDENT PROVIDER
• Brent Frank Fusselman
• Ariana Gonzalez
• Saundra Marie Hicks, RN
• Kimberly Hunt

• Licensed Practical Nurse in Andover, OH
• Providers in Andover, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.