Dana Elizabeth Widder, R.N.
Individual provider Active NPI Home Health Registered Nurse · Conesville, OH
NPI 1821133620 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821133620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 208015 (OH)
- Practice address
- 15840 Township Road 1162
Conesville, OH 43811-9707 - Phone
- (740) 829-2131
- Fax
- (740) 829-2131
- NPI assigned
- Feb 20, 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 |
|---|---|---|---|
| 208015 | OH | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 208015 | OH | Yes |
Addresses
Primary practice location
15840 Township Road 1162
Conesville, OH 43811-9707
Mailing address
15840 Township Road 1162
Conesville, OH 43811-9707
Phone (740) 829-2131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2184809 | Medicaid | OH |
Other providers in Conesville, OH
All providers in Conesville, 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.