Provider Demographics
NPI:1215517826
Name:LAW, PATRICIA (RN, BSN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6236 OAK POINT ESTS
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1870
Mailing Address - Country:US
Mailing Address - Phone:440-989-1999
Mailing Address - Fax:
Practice Address - Street 1:4580 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:VERMILION
Practice Address - State:OH
Practice Address - Zip Code:44089-3285
Practice Address - Country:US
Practice Address - Phone:440-967-2018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN211269163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse