IndividualActive
Angela Chavis, LPN
NPI 1104175462 · Licensed Practical Nurse · Elyria, OH
Provider details
- NPI number
- 1104175462
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN117593 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
337 University Ave
Elyria, OH 44035-7153
Phone: (440) 731-3281
Approximate (ZIP-level) locationGet directions
Mailing address
337 University Ave
Elyria, OH 44035-7153
Registry dates
- Enumerated
- 2012-09-02
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.