Nichole Jean Engelmann, RN
Individual provider Active NPI Home Health Registered Nurse · Conneaut, OH
NPI 1790905149 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790905149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RN309478 (OH)
- Practice address
- 3520 E Center St
Conneaut, OH 44030-3332 - Phone
- (440) 224-7433
- NPI assigned
- Apr 26, 2007
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN309478 | OH | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN309478 | OH | Yes |
Addresses
Primary practice location
3520 E Center St
Conneaut, OH 44030-3332
Mailing address
3488 E Center St
Conneaut, OH 44030-3334
Phone (440) 224-1385
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2512070 | Medicaid | OH |
Other providers in Conneaut, OH
- Elaine Ellen Dombrowski
- Monique A Dominick
- Dr. Albert J. Hoffman, Inc.
- Sharon Eagan
- John Martin Engelmann
- Es3 Management Inc.
- Trisha Mae Foltz
- Douglas K Franley
- Lisa Marie Gagich
- Gary R. Huston D.O., Inc
All providers in Conneaut, OH · Home Health Registered 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 Jul 8, 2007. 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.