Beatrice Joy Henry

Individual provider Active NPI Licensed Practical Nurse · Bellville, OH

NPI 1982937488 · NPPES record last updated Sep 15, 2009

Key facts

NPI
1982937488
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN110392 (OH)
Practice address
511 Main St
Bellville, OH 44813-8968
Phone
(419) 512-6555
Fax
(419) 886-3201
NPI assigned
Sep 15, 2009
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
PN110392OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN110392 OH Yes

Addresses

Primary practice location

511 Main St
Bellville, OH 44813-8968

Mailing address

511 Main St
Bellville, OH 44813-8968
Phone (419) 512-6555

Other providers in Bellville, OH

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

Sources for this page

Verify at the official NPI Registry.