Provider Demographics
NPI:1962021592
Name:CURRENT, ELLEN R (RN)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:R
Last Name:CURRENT
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 1:4253 SPYGLASS HL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-3302
Mailing Address - Country:US
Mailing Address - Phone:513-320-6309
Mailing Address - Fax:
Practice Address - Street 1:240 W ELMWOOD DR STE 1000
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4248
Practice Address - Country:US
Practice Address - Phone:372-248-2009
Practice Address - Fax:937-224-1770
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.359424163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN.359424OtherNURSING LICENSE