Provider Demographics
NPI:1700024908
Name:LUDWIG, BRITTANIE ROSE (LPN)
Entity Type:Individual
Prefix:
First Name:BRITTANIE
Middle Name:ROSE
Last Name:LUDWIG
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 1:282 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-3048
Mailing Address - Country:US
Mailing Address - Phone:419-455-9407
Mailing Address - Fax:
Practice Address - Street 1:282 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-3048
Practice Address - Country:US
Practice Address - Phone:419-455-9407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.128245164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse