Provider Demographics
NPI:1609630235
Name:LEDNIK, RACHEL ELAINE
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELAINE
Last Name:LEDNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 HORNING DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4831
Mailing Address - Country:US
Mailing Address - Phone:513-687-9336
Mailing Address - Fax:
Practice Address - Street 1:2328 HORNING DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4831
Practice Address - Country:US
Practice Address - Phone:513-687-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty