Joleen Winebrenner

Individual provider Active NPI Licensed Practical Nurse · Seville, OH

NPI 1982128104 · NPPES record last updated Jul 30, 2017

Key facts

NPI
1982128104
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
133265.MEDS-IV (OH)
Practice address
79 W Main St
Seville, OH 44273-9586
Phone
(330) 635-5265
NPI assigned
Jul 30, 2017
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
133265.MEDS-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 133265.MEDS-IV OH Yes

Addresses

Primary practice location

79 W Main St
Seville, OH 44273-9586

Mailing address

79 W Main St
Seville, OH 44273-9586

Other providers in Seville, OH

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

Sources for this page

Verify at the official NPI Registry.