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Martha Renae Stafford, LPN
Licensed Practical Nurse in Prospect, Ohio
NPI 1679893986

Martha Renae Stafford is a Licensed Practical Nurse based in Prospect, OH. Martha Renae Stafford practices in Prospect, OH and has the professional credentials of LPN. The NPI Number for Martha Renae Stafford is 1679893986 and holds a License No. PN.122646 IV (Ohio).

The current practice location address for Martha Renae Stafford is 4714 Larue Prospect Rd S, Prospect, OH and can be reached out via phone at 614-989-4855.

Location: 4714 Larue Prospect Rd S, Prospect, OH, 43342-9543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679893986
Provider Name
Martha Renae Stafford
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4714 Larue Prospect Rd S, Prospect, OH, 43342-9543
Phone Number
614-989-4855
Fax Number
Provider Enumeration Date
06/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4714 Larue Prospect Rd S
City
Prospect
State
Ohio
Zip
43342-9543
Phone Number
614-989-4855
Fax Number
person
Provider Business Mailing Address Details
Address
4714 Larue Prospect Rd S
City
Prospect
State
Ohio
Zip
43342-9543
Phone Number
614-989-4855
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.122646 IV (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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