Holly Nicole Conley, LPN

Individual provider Active NPI Licensed Practical Nurse · Upper Sandusky, OH

NPI 1992403539 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1992403539
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.136697.MEDS.IV (OH)
Practice address
12469 State Highway 294
Upper Sandusky, OH 43351-9254
Phone
(419) 310-5030
NPI assigned
Feb 22, 2023
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
LPN.136697.MEDS.IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.136697.MEDS.IV OH Yes

Addresses

Primary practice location

12469 State Highway 294
Upper Sandusky, OH 43351-9254

Mailing address

12469 State Highway 294
Upper Sandusky, OH 43351-9254
Phone (419) 310-5030

Other providers in Upper Sandusky, OH

All providers in Upper Sandusky, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.