Susan Nchimunya Bauleni, LPN
Individual provider Active NPI Licensed Practical Nurse · Stow, OH
NPI 1891053013 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1891053013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN 148406 (OH)
- Practice address
- 2093 Darrow Lake Dr
Stow, OH 44224-6081 - Phone
- (216) 482-6672
- NPI assigned
- Apr 25, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN 148406 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 148406 | OH | Yes |
Addresses
Primary practice location
2093 Darrow Lake Dr
Stow, OH 44224-6081
Mailing address
2093 Darrow Lake Dr
Stow, OH 44224-6081
Phone (216) 482-6672
Other providers in Stow, OH
- Kristen L Barath
- Traci Michelle Barnett
- Cameron Baronwright
- Deborah Bates
- Kyle Nicholas Bauer
- Jennifer A Beale
- Krisitn Beck
- Bria Becker
- Gregory Michael Beddell
- David Begly
All providers in Stow, OH · Licensed Practical 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 Apr 25, 2012. 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.