Provider Demographics
NPI:1770867723
Name:BATKIEWICZ, TERESA JEAN (LPN)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:JEAN
Last Name:BATKIEWICZ
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 1:1407 CLEVELAND RD E
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-9399
Mailing Address - Country:US
Mailing Address - Phone:440-364-4952
Mailing Address - Fax:
Practice Address - Street 1:1407 CLEVELAND RD E
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-9399
Practice Address - Country:US
Practice Address - Phone:440-364-4952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN039805 M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse