Individual
ANN M GREENWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1845 5TH ST, CUYAHOGA FALLS, OH 44221-3815
(330) 606-1949
Mailing address
1845 5TH ST, CUYAHOGA FALLS, OH 44221-3815
(330) 606-1949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 073274
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2226559
—
OH
Enumeration date
04/24/2007
Last updated
07/09/2007
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