Individual
MRS. ANNE MARIE HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2304 FITKIN ST, TOLEDO, OH 43613-3516
(419) 475-9701
(419) 475-9701
Mailing address
2304 FITKIN ST, TOLEDO, OH 43613-3516
(419) 475-9701
(419) 475-9701
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN . 088767
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2235521
PROVIDER ID NO.- MEDICAID
OH
Enumeration date
04/23/2007
Last updated
07/08/2007
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