Cameron Baronwright, LPN

Individual provider Active NPI Licensed Practical Nurse · Stow, OH

NPI 1962743039 · NPPES record last updated Mar 14, 2013

Key facts

NPI
1962743039
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
151927 (OH)
Practice address
1313 Mockingbird TRL
Stow, OH 44224-2317
Phone
(330) 807-1610
NPI assigned
Mar 14, 2013
Sex
Male
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
151927OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 151927 OH Yes

Addresses

Primary practice location

1313 Mockingbird TRL
Stow, OH 44224-2317

Mailing address

1313 Mockingbird TRL
Stow, OH 44224-2317
Phone (330) 807-1610

Other providers in Stow, OH

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

Sources for this page

Verify at the official NPI Registry.