Patricia A Hebebrand, LPN IV

Individual provider Active NPI Licensed Practical Nurse · Macedonia, OH

NPI 1295915189 · NPPES record last updated May 3, 2017

Key facts

NPI
1295915189
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
121775 IV (OH)
Practice address
8298 Harmon Dr
Macedonia, OH 44056-1814
Phone
(216) 215-7641
NPI assigned
Nov 7, 2007
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
121775 IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 121775 IV OH Yes

Addresses

Primary practice location

8298 Harmon Dr
Macedonia, OH 44056-1814

Mailing address

8298 Harmon Dr
Macedonia, OH 44056-1814
Phone (216) 215-7641

Other providers in Macedonia, OH

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

Sources for this page

Verify at the official NPI Registry.