Beth Harp

Individual provider Active NPI Licensed Practical Nurse · Waterville, OH

NPI 1821339995 · NPPES record last updated Mar 13, 2013

Key facts

NPI
1821339995
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN 131984 (OH)
Practice address
365 Anthony Wayne TRL
# 214
Waterville, OH 43566-1509
Phone
(419) 481-1572
NPI assigned
Mar 13, 2013
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 131984OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 131984 OH Yes

Addresses

Primary practice location

365 Anthony Wayne TRL
# 214
Waterville, OH 43566-1509

Mailing address

365 Anthony Wayne TRL
# 214
Waterville, OH 43566-1509
Phone (419) 481-1572

Other providers in Waterville, OH

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

Sources for this page

Verify at the official NPI Registry.