Provider Demographics
NPI:1508525692
Name:ERBE, JOANNE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:ERBE
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 MEDALLION DR W
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9592
Mailing Address - Country:US
Mailing Address - Phone:630-248-9410
Mailing Address - Fax:
Practice Address - Street 1:790 S ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2541
Practice Address - Country:US
Practice Address - Phone:703-835-1498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.419914163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant