Provider Demographics
NPI:1518382209
Name:NALLO, ESTHER B (LPN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:B
Last Name:NALLO
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 1:5888 SPRING RUN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6805
Mailing Address - Country:US
Mailing Address - Phone:614-772-5414
Mailing Address - Fax:
Practice Address - Street 1:5888 SPRING RUN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6805
Practice Address - Country:US
Practice Address - Phone:614-772-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.155687-M-IV164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse