Provider Demographics
NPI:1649037292
Name:KRUEGER, RACHEL C (LPN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:C
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 E EXCHANGE ST UNIT 236
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1520
Mailing Address - Country:US
Mailing Address - Phone:216-952-4585
Mailing Address - Fax:
Practice Address - Street 1:22 E EXCHANGE ST UNIT 236
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1520
Practice Address - Country:US
Practice Address - Phone:216-952-4585
Practice Address - Fax:877-413-1462
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.179671.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse