Individual provider · Type 1 NPI

Peggy Moll, LPN

Licensed Practical Nurse · Maumee, OH

NPI number 1447866140 Active

Practice location

1655 Holland Rd Ste F
Maumee, OH 43537-1656

Fax (513) 873-1567

Mailing address

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XPN092838 (OH)
Licensed Practical Nurse Primary 164W00000XLPN.092838.MEDS (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1447866140

Peggy Moll, LPN's National Provider Identifier is 1447866140, issued on Sep 17, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maumee, OH. The record was last updated on Sep 18, 2020.