Brooke Rader
Licensed Practical Nurse in Greenville, OH. Individual provider (NPI-1).
NPI number1558029645
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1558029645
- Entity type
- Individual (NPI-1)
- Name
- Brooke Rader
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN114685 | OH | Yes |
Practice location
1315 Kitchen Aid WayGreenville, OH 45331-1394
Phone 937-548-1993
Mailing address
14 Park DrArcanum, OH 45304-1337
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Licensed Practical Nurse providers in Greenville · All 601 providers in Greenville
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