Carolyn J Deaner
Individual provider Active NPI Homemaker · Willard, OH
NPI 1831945930 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1831945930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1000 Tamarack Dr
Willard, OH 44890-9329 - Phone
- (567) 224-0934
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1000 Tamarack Dr
Willard, OH 44890-9329
Mailing address
5365 Egypt Rd
Willard, OH 44890-9541
Phone (567) 224-0934
Other providers in Willard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. 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.