Ciara Marie Courtney, LPN
Individual provider Active NPI Licensed Practical Nurse · Buckland, OH
NPI 1376924548 · NPPES record last updated Jun 14, 2015
Key facts
- NPI
- 1376924548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 149611 (OH)
- Practice address
- 308 S Main St
Buckland, OH 45819-9726 - Phone
- (419) 953-8555
- NPI assigned
- Jun 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 149611 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 149611 | OH | Yes |
Addresses
Primary practice location
308 S Main St
Buckland, OH 45819-9726
Mailing address
308 S Main St
Buckland, OH 45819-9726
Phone (419) 953-8555
Other providers in Buckland, OH
All providers in Buckland, 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 Jun 14, 2015. 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.