Provider Demographics
NPI:1013359587
Name:CARMEL, MOLLY MICHELLE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:MICHELLE
Last Name:CARMEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-3431
Mailing Address - Country:US
Mailing Address - Phone:419-207-8012
Mailing Address - Fax:
Practice Address - Street 1:1411 MEADOW LN
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3431
Practice Address - Country:US
Practice Address - Phone:419-207-8012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.150435-M-IV372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider