Provider Demographics
NPI:1508655614
Name:MCVETY, ISABELLA JOLEE
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:JOLEE
Last Name:MCVETY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PERIDOT DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-8632
Mailing Address - Country:US
Mailing Address - Phone:937-394-2810
Mailing Address - Fax:
Practice Address - Street 1:210 PERIDOT DR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-8632
Practice Address - Country:US
Practice Address - Phone:937-394-2810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide