Provider Demographics
NPI:1841509676
Name:MACEK, BRITNI DANIELLE (LPN)
Entity type:Individual
Prefix:MISS
First Name:BRITNI
Middle Name:DANIELLE
Last Name:MACEK
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 1:99 LIMETREE DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-4207
Mailing Address - Country:US
Mailing Address - Phone:740-513-6299
Mailing Address - Fax:
Practice Address - Street 1:99 LIMETREE DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-4207
Practice Address - Country:US
Practice Address - Phone:740-513-6299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.141093-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse