Wende Dell Blankenship

Individual provider Active NPI Licensed Practical Nurse · Rittman, OH

NPI 1962060384 · NPPES record last updated May 31, 2019

Key facts

NPI
1962060384
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
152997 (OH)
Practice address
39 S 2ND St
Rittman, OH 44270-1413
Phone
(330) 390-0365
NPI assigned
May 31, 2019
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
152997OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 152997 OH Yes

Addresses

Primary practice location

39 S 2ND St
Rittman, OH 44270-1413

Mailing address

39 S 2ND St
Rittman, OH 44270-1413
Phone (330) 390-0365

Other providers in Rittman, OH

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

Sources for this page

Verify at the official NPI Registry.