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PREMIER PRACTITIONERS, LLC
NPI 1831240381
Nurse Practitioner - Adult Health in Perrysburg, OH

Active since January 12, 2007
22650 AULT RD, PERRYSBURG, OH 43551(419) 266-5762(419) 833-1123 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Practitioners, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER PRACTITIONERS, LLC (NPI 1831240381) is a healthcare organization registered as an adult health in Perrysburg, Ohio and active in the NPI registry since January 2007. The organization lists Kelly A Shank, Owner, as its authorized official.

NPPES Registry Identity

NPI1831240381
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NamePREMIER PRACTITIONERS, LLC
Location Address22650 AULT RDPerrysburg, OH 43551-8953
Mailing Address22650 Ault RdPerrysburg, OH 43551-8953 · (419) 266-5762 · Fax (419) 833-1123
Phone(419) 266-5762
Fax(419) 833-1123
Organization SubpartNo
Authorized OfficialKelly A ShankOwner · (419) 266-5762
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1831240381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · NP03335
22650 AULT RD, Perrysburg, OH 43551
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Other Identifiers 1

Medicaid2547373OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Practitioners, LLC's NPI number?

The NPI number for Premier Practitioners, LLC is 1831240381. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Premier Practitioners, LLC located?

Premier Practitioners, LLC is located at 22650 Ault Rd, Perrysburg, OH 43551. The listed phone number is (419) 266-5762.

What is Premier Practitioners, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Premier Practitioners, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.