Provider Demographics
NPI:1073854022
Name:PRICE, COURTNEY JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:JOAN
Last Name:PRICE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5574 COUNTY ROAD 139
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9643
Mailing Address - Country:US
Mailing Address - Phone:419-889-7591
Mailing Address - Fax:
Practice Address - Street 1:5574 COUNTY ROAD 139
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-9643
Practice Address - Country:US
Practice Address - Phone:419-889-7591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.390149163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse