HEATHER RENEA ELLERBROCK LPN/MDS COORDINATOR NPI 1659045524

NPI Information

NPI: 1659045524
Provider Name: HEATHER RENEA ELLERBROCK, LPN/MDS COORDINATOR
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
755 OTTAWA ST
KALIDA, OH
ZIP 45853
Phone: (419) 532-2961
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Heather Renea Ellerbrock, LPN/MDS COORDINATOR is a licensed practical nurse in Kalida, OH. The provider is a licensed practical nurse 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 responsibilities vary among the states. Heather Renea Ellerbrock, LPN/MDS COORDINATOR NPI is 1659045524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

755 OTTAWA ST
KALIDA, OH
ZIP 45853-096
Phone: (419) 532-2961

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		154693	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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