Provider Demographics
NPI:1912221284
Name:JAMES, ELEANOR (RN)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:
Last Name:JAMES
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 1:32010 N MARGINAL DR APT 262
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4473
Mailing Address - Country:US
Mailing Address - Phone:440-463-5216
Mailing Address - Fax:
Practice Address - Street 1:32010 N MARGINAL DR APT 262
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-4473
Practice Address - Country:US
Practice Address - Phone:440-463-5216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN348740163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse