Provider Demographics
NPI:1598468118
Name:OGLETREE, RAQUEL (RN)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:OGLETREE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 RAYMOND ST NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-2432
Mailing Address - Country:US
Mailing Address - Phone:330-766-6405
Mailing Address - Fax:
Practice Address - Street 1:1106 RAYMOND ST NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-2432
Practice Address - Country:US
Practice Address - Phone:330-766-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.379733163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health