Provider Demographics
NPI:1417236183
Name:MCLAURINE-WRICE, MARIAN ELOUISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:ELOUISE
Last Name:MCLAURINE-WRICE
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 1:26710 WHITEWAY DR APT D214
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1186
Mailing Address - Country:US
Mailing Address - Phone:216-322-6008
Mailing Address - Fax:
Practice Address - Street 1:26710 WHITEWAY DR APT D214
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1186
Practice Address - Country:US
Practice Address - Phone:216-322-6008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH145413164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse