Provider Demographics
NPI:1225400914
Name:THROWER, SUE (LPN)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:THROWER
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 1:16508 LEGGETT RD
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44064-8737
Mailing Address - Country:US
Mailing Address - Phone:440-321-0681
Mailing Address - Fax:
Practice Address - Street 1:16508 LEGGETT RD
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44064-8737
Practice Address - Country:US
Practice Address - Phone:440-321-0681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-061473-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse