Provider Demographics
NPI:1851799712
Name:PAKEEREE, MARIANNE ELAINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:ELAINE
Last Name:PAKEEREE
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 1:115 ATTERBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1602
Mailing Address - Country:US
Mailing Address - Phone:330-544-1362
Mailing Address - Fax:
Practice Address - Street 1:115 ATTERBURY BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-1602
Practice Address - Country:US
Practice Address - Phone:330-544-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.028986164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse