Provider Demographics
NPI:1144551466
Name:WEBEL, PATTY JO (RN)
Entity type:Individual
Prefix:MRS
First Name:PATTY
Middle Name:JO
Last Name:WEBEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 JACOBY RD
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1707
Mailing Address - Country:US
Mailing Address - Phone:330-665-5767
Mailing Address - Fax:
Practice Address - Street 1:890 JACOBY RD
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1707
Practice Address - Country:US
Practice Address - Phone:330-665-5767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 229302163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse