Provider Demographics
NPI:1316533680
Name:ORR, SUE (LPN)
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:ORR
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 1:4307 NINA ST
Mailing Address - Street 2:
Mailing Address - City:ROOTSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44272-9616
Mailing Address - Country:US
Mailing Address - Phone:330-815-0166
Mailing Address - Fax:
Practice Address - Street 1:4307 NINA ST
Practice Address - Street 2:
Practice Address - City:ROOTSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44272-9616
Practice Address - Country:US
Practice Address - Phone:330-815-0166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care