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Tracy Lynn Custer I
Licensed Practical Nurse in Spencerville, Ohio
NPI 1629576624

Tracy Lynn Custer I is a Licensed Practical Nurse based in Lima, OH. Tracy Lynn Custer I practices in Spencerville, OH. The NPI Number for Tracy Lynn Custer I is 1629576624 and holds a License No. 161430 (Ohio).

The current practice location address for Tracy Lynn Custer I is 105 Primrose Pl, Spencerville, OH and can be reached out via phone at 419-236-2755.

Location: 105 Primrose Pl, Spencerville, OH, 45801-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629576624
Provider Name
Tracy Lynn Custer I
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Primrose Pl, Spencerville, OH, 45801-4535
Phone Number
419-236-2755
Fax Number
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Primrose Pl
City
Spencerville
State
Ohio
Zip
45887-1252
Phone Number
419-236-2755
Fax Number
person
Provider Business Mailing Address Details
Address
105 Primrose Pl
City
Spencerville
State
Ohio
Zip
45887-1252
Phone Number
419-236-2755
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
161430 (Ohio)
Definition
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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