Danielle Avery
Individual provider Active NPI Licensed Practical Nurse · Maple Heights, OH
NPI 1306389713 · NPPES record last updated Dec 2, 2016
Key facts
- NPI
- 1306389713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 152996 (OH)
- Practice address
- 5417 Orchard St
Maple Heights, OH 44137-3317 - Phone
- (216) 820-5948
- NPI assigned
- Dec 2, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 152996 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 152996 | OH | Yes |
Addresses
Primary practice location
5417 Orchard St
Maple Heights, OH 44137-3317
Mailing address
5417 Orchard St
Maple Heights, OH 44137-3317
Phone (216) 820-5948
Other providers in Maple Heights, OH
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- Shanita Avant
- Angela Ayers
- Monica Rena' Bacchus
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- Sherice Renee Bailey
- Diane Carroll Baker Jonel
All providers in Maple Heights, 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 Dec 2, 2016. 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.