Athena Mae Koutsopoulos in Elyria - Licensed Practical Nurse
Athena Mae Koutsopoulos - NPI 1013136837
Athena Mae Koutsopoulos is a Licensed Practical Nurse in Elyria, Ohio. Athena Mae Koutsopoulos practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Athena Mae Koutsopoulos is 1013136837. The last update date is 2007-07-08.
Athena Mae Koutsopoulos's current location address is 329 Eastern Heights Blvd, Elyria, Ohio. You can contact this provider via phone number 4404523368. The mailing address for Athena Mae Koutsopoulos is 329 Eastern Heights Blvd, Elyria, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Athena Mae Koutsopoulos |
|---|---|
| Address | 329 Eastern Heights Blvd, Elyria, Ohio |
| Phone Number | 4404523368 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1013136837 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 329 Eastern Heights Blvd |
|---|---|
| City | Elyria |
| State | Ohio (OH) |
| Post Code | 440356455 |
| Phone Number | 4404523368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 107838 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identification code assigned to Athena Mae Koutsopoulos by the Centers for Medicare & Medicaid Services?
The Athena Mae Koutsopoulos has been issued the NPI (National Provider Identifier) 1013136837, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Athena Mae Koutsopoulos's physical address?
The Athena Mae Koutsopoulos is physically located at 329 Eastern Heights Blvd, in the city of Elyria, OH, with the postal code 440356455.
What is Athena Mae Koutsopoulos's area of expertise and its corresponding taxonomy classification?
The Athena Mae Koutsopoulos's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Athena Mae Koutsopoulos receive its 1013136837 assignment from the Centers for Medicare & Medicaid Services?
The Athena Mae Koutsopoulos was assigned its 1013136837 by the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date were the details related to Athena Mae Koutsopoulos most recently updated or revised?
The information pertaining to Athena Mae Koutsopoulos, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.