Stephanie Renee Cripps, LPN

Individual provider Active NPI Licensed Practical Nurse · Ashley, OH

NPI 1871509802 · NPPES record last updated Apr 20, 2009

Key facts

NPI
1871509802
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN090459 (OH)
Practice address
9015 Ashley Rd
Ashley, OH 43003-9734
Phone
(740) 413-4017
NPI assigned
Jul 31, 2006
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

State licenses

LicenseStateTypeSpecialty
PN090459OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN090459 OH Yes

Addresses

Primary practice location

9015 Ashley Rd
Ashley, OH 43003-9734

Mailing address

9015 Ashley Rd
Ashley, OH 43003-9734
Phone (740) 413-4017

Other identifiers

IdentifierTypeStateIssuer
2266784MedicaidOH

Other providers in Ashley, OH

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

Sources for this page

Verify at the official NPI Registry.