MARTHA RENAE STAFFORD LPN
NPI 1679893986
Licensed Practical Nurse in Prospect, OH

Active since June 09, 2010
4714 LARUE PROSPECT RD S, PROSPECT, OH 43342(614) 989-4855 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Martha Renae Stafford Lpn NPPES

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

MARTHA RENAE STAFFORD LPN (NPI 1679893986) is an individual licensed practical nurse in Prospect, Ohio, licensed in Ohio (PN.122646 IV) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1679893986
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARTHA RENAE STAFFORDCredential: LPN
Location Address4714 LARUE PROSPECT RD SProspect, OH 43342-9543
Mailing Address4714 Larue Prospect Rd SProspect, OH 43342-9543 · (614) 989-4855
Sole ProprietorYes
Enumeration DateJune 9, 2010
NPI 1679893986 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 · PN.122646 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.

4714 LARUE PROSPECT RD S, Prospect, OH 43342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679893986, enumerated as an "individual" on June 09, 2010.

The provider is located at 4714 LARUE PROSPECT RD S PROSPECT, OH 43342 and the phone number is (614) 989-4855.

Licensed Practical Nurse with taxonomy code 164W00000X.