Provider Demographics
NPI:1851759427
Name:SAULSBERRY, LADONNA (LPN)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:
Last Name:SAULSBERRY
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 1:4531 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1051
Mailing Address - Country:US
Mailing Address - Phone:234-254-8181
Mailing Address - Fax:
Practice Address - Street 1:4531 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1051
Practice Address - Country:US
Practice Address - Phone:234-254-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN147346-MEDS164W00000X
OHLPN.147346.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse