Robin Stewart

Individual provider Active NPI Licensed Practical Nurse · Hanoverton, OH

NPI 1972989648 · NPPES record last updated Aug 5, 2015

Key facts

NPI
1972989648
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
104351-M-IV (OH)
Practice address
9094 Chestnut LN
Hanoverton, OH 44423-9626
Phone
(330) 429-8103
NPI assigned
Aug 5, 2015
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
104351-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 104351-M-IV OH Yes

Addresses

Primary practice location

9094 Chestnut LN
Hanoverton, OH 44423-9626

Mailing address

9094 Chestnut LN
Hanoverton, OH 44423-9626

Other providers in Hanoverton, OH

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

Sources for this page

Verify at the official NPI Registry.