Anna Fedorko, LPN
Licensed Practical Nurse in Geneva, OH. Individual provider (NPI-1).
NPI number1083955652
StatusActive
Last updated in NPPESMar 7, 2013
Details
- NPI
- 1083955652
- Entity type
- Individual (NPI-1)
- Name
- Anna Fedorko
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2013
- Last updated
- Mar 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN 112686 | OH | Yes |
Practice location
731 Eastwood StGeneva, OH 44041-1722
Phone 440-466-9573
Mailing address
731 Eastwood StGeneva, OH 44041
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