Individual provider · Type 1 NPI

Martha Renae Stafford, LPN

Licensed Practical Nurse · Prospect, OH

NPI number 1679893986 Active

Practice location

4714 Larue Prospect Rd S
Prospect, OH 43342-9543

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.122646 IV (OH)

Licensed Practical Nurse: An individual 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.

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About NPI 1679893986

Martha Renae Stafford, LPN's National Provider Identifier is 1679893986, issued on Jun 9, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Prospect, OH. The record was last updated on Jun 9, 2010.