Renee Pomposelli
Individual provider Active NPI Registered Nurse · Greenwich, OH
NPI 1356583041 · NPPES record last updated Feb 10, 2023
Key facts
- NPI
- 1356583041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.441560 (OH)
- Practice address
- 137 Baseline Rd
Greenwich, OH 44837-9359 - Phone
- (419) 706-1528
- NPI assigned
- Mar 27, 2009
- 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 |
|---|---|---|---|
| RN.441560 | OH | MD | Registered Nurse |
| PN093165 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.441560 | OH | Yes |
| Licensed Practical Nurse | 164W00000X | PN093165 | OH |
Addresses
Primary practice location
137 Baseline Rd
Greenwich, OH 44837-9359
Mailing address
5086 Fayette Rd
New London, OH 44851-9484
Phone (419) 706-1528
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN.441560 | Other | OH | VETERANS ADMINISTRATION |
Other providers in Greenwich, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2023. 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.