Provider Demographics
NPI:1316179880
Name:DAVIES, NENNEH V (LPN)
Entity Type:Individual
Prefix:
First Name:NENNEH
Middle Name:V
Last Name:DAVIES
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 1:544 RIVERBY LN
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3262
Mailing Address - Country:US
Mailing Address - Phone:614-886-5474
Mailing Address - Fax:
Practice Address - Street 1:544 RIVERBY LN
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3262
Practice Address - Country:US
Practice Address - Phone:614-886-5474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN132010164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse