Dawn Weller
Individual provider Active NPI Home Health Aide · Fresno, OH
NPI 1962533752 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962533752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 2269450 (OH)
- Practice address
- 52293 TWP Rd 186
Fresno, OH 43824-9776 - Phone
- (740) 545-9084
- NPI assigned
- Mar 7, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2269450 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2269450 | OH | Yes |
Addresses
Primary practice location
52293 TWP Rd 186
Fresno, OH 43824-9776
Mailing address
52293 TWP Rd 186
Fresno, OH 43824-9776
Phone (740) 545-9084
Other providers in Fresno, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.