Provider Demographics
NPI:1295969442
Name:PIATT, EMILY RENEE (LPN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:RENEE
Last Name:PIATT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:RENEE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:158 N WOOD ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-1235
Mailing Address - Country:US
Mailing Address - Phone:937-218-3934
Mailing Address - Fax:
Practice Address - Street 1:158 N WOOD ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-1235
Practice Address - Country:US
Practice Address - Phone:937-218-3934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.127743164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse