Rebecca Coll Schooley, LPN

Individual provider Active NPI Licensed Practical Nurse · Painesville, OH

NPI 1912044397 · NPPES record last updated May 5, 2008

Key facts

NPI
1912044397
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN076565 (OH)
Practice address
167 Wood St
Painesville, OH 44077
Phone
(440) 867-8626
Fax
(440) 867-2461
NPI assigned
Feb 1, 2007
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
PN076565OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN076565 OH Yes

Addresses

Primary practice location

167 Wood St
Painesville, OH 44077

Mailing address

PO Box 86
Painesville, OH 44077-0086
Phone (440) 867-8626

Other identifiers

IdentifierTypeStateIssuer
2689667MedicaidOH

Other providers in Painesville, OH

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

Sources for this page

Verify at the official NPI Registry.