Most Relevant Information
Provider Data
| NPI Number: | 1003473323 |
| Provider Name: | GRACE ELAINE HEARN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 140442 |
Most Important Dates
| Enumeration Date: | 05/22/2019 |
| Last Updated: | 05/22/2019 |
Provider Practice Location
234 OAKWOOD ST
GREENVILLE
OH
453311331
Practice Location Phone/Fax
| Phone: | 5623382721 |
| Fax: |
Provider Mailing Location
234 OAKWOOD ST
GREENVILLE
OH
453311331
Provider Mailing Phone/Fax
| Phone: | 5623382721 |
| Fax: |