Provider Demographics
NPI:1639314420
Name:LEPLEY, CAROL A (RN)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:LEPLEY
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 1:529 MECHWART PL
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4560
Mailing Address - Country:US
Mailing Address - Phone:614-855-8501
Mailing Address - Fax:
Practice Address - Street 1:529 MECHWART PL
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4560
Practice Address - Country:US
Practice Address - Phone:614-855-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 085584163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse