Tricia Lynne Comer

Individual provider Active NPI Licensed Practical Nurse · Springfield, OH

NPI 1992471668 · NPPES record last updated Aug 21, 2021

Key facts

NPI
1992471668
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN097742 (OH)
Practice address
4663 Mumper Rd
Springfield, OH 45502-9234
Phone
(937) 925-2296
NPI assigned
Aug 21, 2021
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
LPN097742OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN097742 OH Yes

Addresses

Primary practice location

4663 Mumper Rd
Springfield, OH 45502-9234

Mailing address

4663 Mumper Rd
Springfield, OH 45502-9234
Phone (937) 925-2296

Other providers in Springfield, OH

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

Sources for this page

Verify at the official NPI Registry.