Provider Demographics
NPI:1356509848
Name:CARTEE, RACHELLE YEVETTE (LPN)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:YEVETTE
Last Name:CARTEE
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 1:67905 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-8229
Mailing Address - Country:US
Mailing Address - Phone:740-596-1719
Mailing Address - Fax:
Practice Address - Street 1:67905 CREEK RD
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-8229
Practice Address - Country:US
Practice Address - Phone:740-596-1719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.124553-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse