Individual
MS. BREE DANIELLE ELZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1839 SOUTHWEST BLVD SW, WARREN, OH 44485-3971
(330) 766-0685
Mailing address
1839 SOUTHWEST BLVD SW, WARREN, OH 44485-3971
(330) 766-0685
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 110576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383013
—
OH
Enumeration date
11/10/2006
Last updated
07/09/2007
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