Kristi Mabie, RN
Individual provider Active NPI Registered Nurse · Swanton, OH
NPI 1942966023 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1942966023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 264251 (OH)
- Practice address
- 105 W Airport Hwy
Swanton, OH 43558-1410 - Phone
- (419) 825-1161
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264251 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 264251 | OH | Yes |
Addresses
Primary practice location
105 W Airport Hwy
Swanton, OH 43558-1410
Mailing address
6244 Brookhaven Blvd
Perrysburg, OH 43551-2187
Other providers in Swanton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2021. 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.