Provider Demographics
NPI:1003459652
Name:CURRENCE, AUTUMN LEANN
Entity Type:Individual
Prefix:
First Name:AUTUMN
Middle Name:LEANN
Last Name:CURRENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CHURCHILL RD. APT. 3
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420
Mailing Address - Country:US
Mailing Address - Phone:330-883-5043
Mailing Address - Fax:
Practice Address - Street 1:209 CHURCHILL RD. APT. 3
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420
Practice Address - Country:US
Practice Address - Phone:330-883-5043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider