Teresa M Stoneburner, LPN
Individual provider Active NPI Licensed Practical Nurse · Waverly, OH
NPI 1457543100 · NPPES record last updated Aug 16, 2007
Key facts
- NPI
- 1457543100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN125591 (OH)
- Practice address
- 465 Willett Rd
Waverly, OH 45690-9518 - Phone
- (740) 663-4598
- NPI assigned
- Aug 16, 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN125591 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN125591 | OH | Yes |
Addresses
Primary practice location
465 Willett Rd
Waverly, OH 45690-9518
Mailing address
465 Willett Rd
Waverly, OH 45690-9518
Phone (740) 663-4598
Other providers in Waverly, OH
- Jackie Lee Stewart
- Kira Stiles
- Sean D Stiltner
- Julie Stone
- Georgia Ann Stoneburner
- Phillip Stultz
- Phillip Summers
- Sunshine Community Services LLC
- Jessica Swain
- Marcie Rae Swenson
All providers in Waverly, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.