Beverley Jean Suckow, LPN
Individual provider Active NPI Licensed Practical Nurse · Wellington, OH
NPI 1730722646 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1730722646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.171211.MEDS-IV (OH)
- Practice address
- 135 Forest St
Wellington, OH 44090-1323 - Phone
- (440) 537-0067
- NPI assigned
- Oct 23, 2019
- 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 |
|---|---|---|---|
| LPN.171211.MEDS-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.171211.MEDS-IV | OH | Yes |
Addresses
Primary practice location
135 Forest St
Wellington, OH 44090-1323
Mailing address
135 Forest St
Wellington, OH 44090-1323
Phone (440) 537-0067
Other providers in Wellington, OH
- Emily Faith Skala
- Brittanasha Renae Smith
- Joanne Carol Smith
- South Lorain County Ambulance District
- Leslie A Strodtbeck
- Angela Taborn
- Kimberly Teodecki
- The Cleveland Clinic Foundation
- Paula Thomas-Gereke
- Threads Within LLC
All providers in Wellington, 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 Oct 23, 2019. 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.