Emily Jestinah Wray in Logan - Licensed Practical Nurse
Emily Jestinah Wray - NPI 1134263379
Emily Jestinah Wray is a Licensed Practical Nurse in Logan, Ohio. Emily Jestinah Wray practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Emily Jestinah Wray is 1134263379. The last update date is 2007-07-09.
Emily Jestinah Wray's current location address is 7150 State Route 312, Logan, Ohio. You can contact this provider via phone number 7403858693. The mailing address for Emily Jestinah Wray is 7150 State Route 312, Logan, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Emily Jestinah Wray |
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Address | 7150 State Route 312, Logan, Ohio |
Phone Number | 7403858693 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LPN |
NPI Number Detail
NPI Number | 1134263379 |
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Provider Enumeration Date | 2007-02-19 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 7150 State Route 312 |
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City | Logan |
State | Ohio (OH) |
Post Code | 431389389 |
Phone Number | 7403858693 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Practical Nurse |
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Taxonomy | 164W00000X |
Licence No | PN095087 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2165259 | OH | -- |
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What is the Emily Jestinah Wray's 1134263379?
The Emily Jestinah Wray's NPI (National Provider Identifier) Number is 1134263379. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Emily Jestinah Wray?
The Emily Jestinah Wray is physically situated at 7150 State Route 312, in the city of Logan, state of OH, with the postal code 431389389.
What is the Emily Jestinah Wray's area of specialization and corresponding taxonomy classification?
The Emily Jestinah Wray's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1134263379 to Emily Jestinah Wray?
The Emily Jestinah Wray received its 1134263379 assignment from the Centers for Medicare & Medicaid Services on 2007-02-19.
When was the Emily Jestinah Wray's information last updated?
The Emily Jestinah Wray's information was last updated on 2007-07-09.