Trudy Lynn Cummins, L.P.N.

Individual provider Active NPI Licensed Practical Nurse · Marengo, OH

NPI 1043358849 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043358849
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN068399 (OH)
Practice address
3621 TWP Rd 161
Marengo, OH 43334
Phone
(419) 864-4636
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN068399OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN068399 OH Yes

Addresses

Primary practice location

3621 TWP Rd 161
Marengo, OH 43334

Mailing address

3621 TWP Rd 161
Marengo, OH 43334
Phone (419) 864-4636

Other identifiers

IdentifierTypeStateIssuer
PN068399OtherOHLICENSE NUMBER

Other providers in Marengo, OH

All providers in Marengo, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.