Alicia R Eaton, LPN

Individual provider Active NPI Licensed Practical Nurse · Seaman, OH

NPI 1679746374 · NPPES record last updated Apr 2, 2008

Key facts

NPI
1679746374
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN140003 (OH)
Practice address
1050 Greenbrier Rd
Seaman, OH 45679-9793
Phone
(937) 217-3996
NPI assigned
Apr 2, 2008
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
PN140003OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN140003 OH Yes

Addresses

Primary practice location

1050 Greenbrier Rd
Seaman, OH 45679-9793

Mailing address

1050 Greenbrier Rd
Seaman, OH 45679-9793
Phone (937) 217-3996

Other providers in Seaman, OH

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

Sources for this page

Verify at the official NPI Registry.