Mary Lynne Boss, LPN
Individual provider Active NPI Licensed Practical Nurse · Clinton, OH
NPI 1891130159 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1891130159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.087823-MEDS (OH)
- Practice address
- 449 E Comet Rd
Clinton, OH 44216-9425 - Phone
- (330) 882-4926
- NPI assigned
- May 1, 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN.087823-MEDS | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.087823-MEDS | OH | Yes |
Addresses
Primary practice location
449 E Comet Rd
Clinton, OH 44216-9425
Mailing address
449 E Comet Rd
Clinton, OH 44216-9425
Phone (330) 882-4926
Other providers in Clinton, OH
- Allia Anderson
- Mark Andrew Bolois
- Holly Buzzelli
- Vincent Buzzelli
- Suzanne Estella Carmichael
- Community Care on Wheels
- Community Transportation
All providers in Clinton, 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 May 1, 2013. 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.