Wendy Christine Dysinger, LPN

Individual provider Active NPI Licensed Practical Nurse · Piqua, OH

NPI 1467759449 · NPPES record last updated Feb 28, 2011

Key facts

NPI
1467759449
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN 127089 (OH)
Practice address
1240 Severs Dr
Piqua, OH 45356-2528
Phone
(937) 451-1505
NPI assigned
Feb 28, 2011
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
PN 127089OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 127089 OH Yes

Addresses

Primary practice location

1240 Severs Dr
Piqua, OH 45356-2528

Mailing address

1240 Severs Dr
Piqua, OH 45356-2528
Phone (937) 451-1505

Other providers in Piqua, OH

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

Sources for this page

Verify at the official NPI Registry.