Diana Gwen Orr, LPN

Individual provider Active NPI Licensed Practical Nurse · Minerva, OH

NPI 1568795151 · NPPES record last updated Sep 14, 2009

Key facts

NPI
1568795151
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN. 124243 (OH)
Practice address
9632 Stephen Dr
Minerva, OH 44657-9237
Phone
(330) 614-1601
NPI assigned
Sep 14, 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

LicenseStateTypeSpecialty
PN. 124243OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN. 124243 OH Yes

Addresses

Primary practice location

9632 Stephen Dr
Minerva, OH 44657-9237

Mailing address

9632 Stephen Dr
Minerva, OH 44657-9237
Phone (330) 614-1601

Other providers in Minerva, OH

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

Sources for this page

Verify at the official NPI Registry.