CAROLYN VANDERMARK
NPI 1407215189
Licensed Practical Nurse in Milford, OH

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since February 23, 2016

25 WHITNEY DR, MILFORD, OH 45150(513) 969-8768(937) 258-4261 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2017, Feb 23, 2016 (2 updates tracked since 2016).

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About Carolyn Vandermark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN VANDERMARK (NPI 1407215189) is an individual licensed practical nurse in Milford, Ohio, licensed in Ohio (PN153433-M-IV) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1407215189

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCAROLYN VANDERMARK

Location Address25 WHITNEY DRMilford, OH 45150-8402

Mailing Address25 Whitney DrMilford, OH 45150-8402 · (513) 969-8768

Phone(513) 969-8768

Fax(937) 258-4261

Sole ProprietorYes

Enumeration DateFebruary 23, 2016

Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1407215189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN153433-M-IV

Definition

A licensed practical nurse 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.

25 WHITNEY DR, Milford, OH 45150

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