Renee Evans
Individual provider Active NPI Adult Companion · Cortland, OH
NPI 1508306887 · NPPES record last updated Mar 6, 2017
Key facts
- NPI
- 1508306887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- License
- LPN114185 (OH)
- Practice address
- 2801 Ravine Run
Cortland, OH 44410 - Phone
- (330) 219-8421
- NPI assigned
- Mar 6, 2017
- 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 |
|---|---|---|---|
| LPN114185 | OH | MD | Adult Companion |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | LPN114185 | OH | Yes |
Addresses
Primary practice location
2801 Ravine Run
Cortland, OH 44410
Mailing address
2801 Ravine Run
Cortland, OH 44410
Phone (330) 219-8421
Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2017. 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.